Evans, Mackenzie Marie

Evans, Mackenzie Marie is an individual health care provider with primary practice located at 2380 Branleigh Park Ct , Reston VA 20191. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Evans, Mackenzie Marie can be contacted via phone (703) 945-7327.

Contact Information

Primary practice address
2380 Branleigh Park Ct Reston VA 20191
Phone: (703) 945-7327
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1063930683
LBN Legal business name Evans, Mackenzie Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2017
Last updated Sep 4th, 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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