Johnson, Michael Mackenzie
Johnson, Michael Mackenzie is an individual health care provider with primary practice located at 14678 N Del Webb Blvd , Sun City AZ 85351-2137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, Michael Mackenzie can be contacted via phone (623) 933-8289.Contact Information
Primary practice address
14678 N Del Webb Blvd
Sun City AZ 85351-2137
Phone: (623) 933-8289
Fax: (623) 933-2596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12960 | Arizona |
Profile Details
| NPI number | 1609869643 |
|---|---|
| LBN Legal business name | Johnson, Michael Mackenzie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Sep 9th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609869643 | NPPES |
| Arizona | Other | AZ0054230 | BLUE CROSS BLUE SHIELD |
| Arizona | Other | 110061076 | BLUE CROSS BLUE SHIELD |
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