Mackenzie, James R
Mackenzie, James R is an individual health care provider with primary practice located at 3988 W Royal Dr , Traverse City MI 49684-9200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Mackenzie, James R can be contacted via phone (231) 935-0860.Contact Information
Primary practice address
3988 W Royal Dr
Traverse City MI 49684-9200
Phone: (231) 935-0860
Fax: (231) 935-0930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 4301050154 | Michigan |
Profile Details
| NPI number | 1043260102 |
|---|---|
| LBN Legal business name | Mackenzie, James R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Nov 26th, 2012 - about 12 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 | 1043260102 | NPPES |
| Michigan | MEDICAID | 4159010 |
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