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:
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Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609869643 NPPES
Arizona Other AZ0054230 BLUE CROSS BLUE SHIELD
Arizona Other 110061076 BLUE CROSS BLUE SHIELD

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