Dr. Jill Dougal Mackinnon
Neuromusculoskeletal Medicine (NMM)
2001 Dwight Way 2nd Floor - Room # 2350
Berkeley
, California 94704-2608
Dr. Jill Dougal Mackinnon
Neuromusculoskeletal Medicine (NMM)
2001 Dwight Way 2nd Floor - Room # 2350
Berkeley
, California 94704-2608
(510) 204-5892
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Dr. Jill Dougal Mackinnon
- 2001 Dwight Way 2nd Floor - Room # 2350
- Berkeley, CA
- Zip : 94704-2608
- Fax : (510) 204-5892
- Phone : (510) 204-4738
Second Address
- Dr. Jill Dougal Mackinnon
- 2001 Dwight Way 2nd Floor - Room # 2350
- Berkeley, CA
- Zip : 94704-2608
- Fax : (510) 204-5892
- Phone : (510) 204-4738
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | G67976 | CA |
National Provider Identifier
| NPI | 1134201627 |
|---|---|
| Provider Name | Dr. Jill Dougal Mackinnon |
| First Address | Berkeley, CA 94704-2608 |
| Second Address | Berkeley, CA 94704-2608 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/10/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G679760 | MEDI-CAL (01) | CA |
| F35552 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.