Glen Mackenzie Md Pc

LBN: Glen Mackenzie Md Pc
Glen Mackenzie Md Pc is an health care organization with primary practice located at 1009 Depot St , Manchester Center VT 05255-9731. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty. Glen Mackenzie Md Pc can be contacted via phone (802) 442-8649, or through Mackenzie, Glen Carlisle via phone (802) 442-8649.

Contact Information

Primary practice address
1009 Depot St Manchester Center VT 05255-9731
Phone: (802) 442-8649
Fax: (802) 442-8658
Website:
Map and Directions
Authorized official contact:
Name: Mackenzie, Glen Carlisle Doctor of Medicine (MD)
Phone: (802) 442-8649

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 420009174 Vermont

Profile Details

NPI number 1467806067
LBN Legal business name Glen Mackenzie Md Pc
DBA Doing business as
Authorized official Mackenzie, Glen Carlisle Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2016
Last updated Jun 17th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467806067 NPPES
Vermont MEDICAID OVN1210

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