Mackenzie, John Frazer

Mackenzie, John Frazer is an sole proprietor health care provider with primary practice located at 1001 Willow Creek Rd Ste 3300 , Prescott AZ 86301-1614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mackenzie, John Frazer can be contacted via phone (928) 778-0827.

Contact Information

Primary practice address
1001 Willow Creek Rd Ste 3300 Prescott AZ 86301-1614
Phone: (928) 778-0827
Fax: (928) 778-5622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 3195 Arizona

Profile Details

NPI number 1518078807
LBN Legal business name Mackenzie, John Frazer
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Dec 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518078807 NPPES
Arizona Other AZ0863520 BCBS
Arizona MEDICAID 377920 BCBS

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