Beadles, Makenzie

Beadles, Makenzie is an individual health care provider with primary practice located at 6102 82Nd St Ste 10 , Lubbock TX 79424. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Beadles, Makenzie can be contacted via phone (806) 993-3333.

Contact Information

Primary practice address
6102 82Nd St Ste 10 Lubbock TX 79424
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X RBT-18-56092 Texas

Profile Details

NPI number 1790264851
LBN Legal business name Beadles, Makenzie
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2018
Last updated Aug 9th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790264851 NPPES
Texas Other RBT-18-56092 BACB

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