Dillis, Mackenzie

Dillis, Mackenzie is an individual health care provider with primary practice located at 2401 W Turner Rd Ste 450 , Lodi CA 95242. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Dillis, Mackenzie can be contacted via phone (209) 370-1700.

Contact Information

Primary practice address
2401 W Turner Rd Ste 450 Lodi CA 95242
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM05720 California

Profile Details

NPI number 1932740214
LBN Legal business name Dillis, Mackenzie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2019
Last updated Jan 22nd, 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.

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