Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JILL DOUGAL MACKINNON, M.D.
Active Sole ProprietorDR. JILL DOUGAL MACKINNON, M.D. is a Electrodiagnostic Medicine healthcare provider located in BERKELEY, California. NPI 1134201627 is currently active in the NPPES registry. Verify at CMS.
Electrodiagnostic Medicine · BERKELEY, CA
Registration Details
- NPI Number
- 1134201627
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 20, 2006 (19.79833895671 yrs)
- Last Updated
- Jul 9, 2007
- License
-
G67976 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2001 DWIGHT WAY2ND FLOOR - ROOM # 2350BERKELEY, CA, 947042608Browse CA providers · Browse ZIP 94704
- Phone
- 5102044738
- Fax
- 5102045892
- Primary Specialty
-
Electrodiagnostic Medicine
204D00000X
Other Electrodiagnostic Medicine Providers in BERKELEY, CA
| Name | Credential | NPI |
|---|---|---|
| STACIA SLOANE | DO | 1972090090 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.