Deaton, Mackenzie

Deaton, Mackenzie is an individual health care provider with primary practice located at 15397 State Highway 32 , Lakewood WI 54138-9702. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Deaton, Mackenzie can be contacted via phone (715) 276-6321.

Contact Information

Primary practice address
15397 State Highway 32 Lakewood WI 54138-9702
Fax: (715) 276-1428
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 1002641 Wisconsin

Profile Details

NPI number 1104297571
LBN Legal business name Deaton, Mackenzie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2015
Last updated Oct 12th, 2015 - about 10 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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