Mackenzie, John Dewolfe
Mackenzie, John Dewolfe is an individual health care provider with primary practice located at 19020 33Rd Ave W Ste 210 , Lynnwood WA 98036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Mackenzie, John Dewolfe can be contacted via phone (425) 563-1500.Contact Information
Primary practice address
19020 33Rd Ave W Ste 210
Lynnwood WA 98036
Phone: (425) 563-1500
Fax: (425) 563-1501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | A99500 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A99500 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD60942783 | Washington |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | MD60942783 | Washington |
Profile Details
| NPI number | 1437356268 |
|---|---|
| LBN Legal business name | Mackenzie, John Dewolfe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2007 |
| Last updated | Aug 22nd, 2019 - about 5 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 | 1437356268 | NPPES |
| Washington | Other | 0408813 | L&I-EVERGREEN RADIA |
| Washington | Other | 0408817 | L&I-EVERGREEN RADIA |
| Washington | Other | 0408810 | L&I-EVERGREEN RADIA |
| Washington | Other | 0408811 | L&I-EVERGREEN RADIA |
| Washington | Other | 0408816 | L&I-EVERGREEN RADIA |
| Washington | Other | 0408812 | L&I-EVERGREEN RADIA |
| Washington | MEDICAID | 1091767 | L&I-EVERGREEN RADIA |
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