Belzer, Mckenna Lee

Belzer, Mckenna Lee is an individual health care provider with primary practice located at 700 Ne 87Th Ave Ste 170 , Vancouver WA 98664-4896. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Belzer, Mckenna Lee can be contacted via phone (360) 882-2778.

Contact Information

Primary practice address
700 Ne 87Th Ave Ste 170 Vancouver WA 98664-4896
Fax: (360) 604-1694
Website:

Profile Details

NPI number 1508132770
LBN Legal business name Belzer, Mckenna Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2012
Last updated Sep 5th, 2019 - about 5 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 1508132770 NPPES
Washington MEDICAID 2018449

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