Burke, Mackenzie
Burke, Mackenzie is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-2002. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Burke, Mackenzie can be contacted via phone (608) 890-5500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 3687-29 | Wisconsin |
Profile Details
| NPI number | 1194494906 |
|---|---|
| LBN Legal business name | Burke, Mackenzie |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2021 |
| Last updated | Mar 1st, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194494906 | NPPES |
| Wisconsin | Other | 3687-29 | WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES |
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