Cervenka, Mackenzie Carpenter

Cervenka, Mackenzie Carpenter is an individual health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21287-0005. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Cervenka, Mackenzie Carpenter can be contacted via phone (410) 955-9441.

Contact Information

Primary practice address
600 N Wolfe St Baltimore MD 21287-0005
Phone: (410) 955-9441
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X P18564 Maryland
Allopathic & Osteopathic Physicians / Neurology 2084N0400X D67856 Maryland

Profile Details

NPI number 1407981699
LBN Legal business name Cervenka, Mackenzie Carpenter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Feb 5th, 2013 - about 11 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 1407981699 NPPES
Maryland MEDICAID 326109300

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