Mackenzie, Ian Angus
Mackenzie, Ian Angus is an individual health care provider with primary practice located at 1100 9Th Ave , Seattle WA 98101-2756. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Mackenzie, Ian Angus can be contacted via phone (206) 223-6980.Contact Information
Primary practice address
1100 9Th Ave
Seattle WA 98101-2756
Phone: (206) 223-6980
Fax: (206) 223-6982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 45344 | Montana |
| Nursing Service Providers / Registered Nurse | 163W00000X | 45344 | Montana |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN00103282 | Washington |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN 466027 | California |
| Nursing Service Providers / Registered Nurse | 163W00000X | R147063-9 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP30005404 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | NA 2224 | California |
Profile Details
| NPI number | 1689668154 |
|---|---|
| LBN Legal business name | Mackenzie, Ian Angus |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Jun 11th, 2013 - about 11 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 | 1689668154 | NPPES |
| Washington | MEDICAID | 9632951 | |
| Washington | Other | 0292055 | |
| Washington | Other | P01169721 |
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