Leeke, Mackenzie Rose

Leeke, Mackenzie Rose is an sole proprietor health care provider with primary practice located at 508 Redbud Way , Nevada City CA 95959-2156. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Leeke, Mackenzie Rose can be contacted via phone (530) 277-2043.

Contact Information

Primary practice address
508 Redbud Way Nevada City CA 95959-2156
Fax: (530) 572-1524
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X LM500 California

Profile Details

NPI number 1114456340
LBN Legal business name Leeke, Mackenzie Rose
Credentials LM, CPM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2017
Last updated Jul 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114456340 NPPES
California Other 1114456340 NPPES

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