Mackenzie, Sean P

Mackenzie, Sean P is an individual health care provider with primary practice located at 324 Roxbury Rd , Rockford IL 61107-5090. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Mackenzie, Sean P can be contacted via phone (815) 398-9491.

Contact Information

Primary practice address
324 Roxbury Rd Rockford IL 61107-5090
Phone: (815) 398-9491
Fax: (815) 381-7498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-111320 Illinois

Profile Details

NPI number 1063527349
LBN Legal business name Mackenzie, Sean P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Mar 20th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063527349 NPPES
Illinois MEDICAID 036-111320

Popular Providers