Booth, Mackenzie

Booth, Mackenzie is an individual health care provider with primary practice located at 1120 Sfh Brigham Young University, Provo UT 84602. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Booth, Mackenzie can be contacted via phone (801) 866-6082.

Contact Information

Primary practice address
1120 Sfh Brigham Young University Provo UT 84602
Phone: (801) 866-6082
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 10312376-4810 Utah

Profile Details

NPI number 1427572627
LBN Legal business name Booth, Mackenzie
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2017
Last updated Jul 29th, 2017 - about 8 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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