Mackenzie, Brandon Edwin
Mackenzie, Brandon Edwin is an individual health care provider with primary practice located at 44199 Dequindre Suite 250, Troy MI 48085. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mackenzie, Brandon Edwin can be contacted via phone (248) 879-8441.Contact Information
Primary practice address
44199 Dequindre Suite 250
Troy MI 48085
Phone: (248) 879-8441
Fax: (248) 879-6841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601004002 | Michigan |
Profile Details
| NPI number | 1659349348 |
|---|---|
| LBN Legal business name | Mackenzie, Brandon Edwin |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Oct 8th, 2008 - about 17 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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