Mackenzie, William R
Mackenzie, William R is an individual health care provider with primary practice located at 11802 Ne 65Th St 100, Vancouver WA 98662-5521. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Chiropractic Providers / Chiropractor. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Mackenzie, William R can be contacted via phone (360) 253-6883.Contact Information
Primary practice address
11802 Ne 65Th St 100
Vancouver WA 98662-5521
Phone: (360) 253-6883
Fax: (360) 892-7040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00006628 | Washington |
| Chiropractic Providers / Chiropractor | 111N00000X | CH00034484 | Washington |
Profile Details
| NPI number | 1457356404 |
|---|---|
| LBN Legal business name | Mackenzie, William R |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Mar 6th, 2009 - about 15 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 | 1457356404 | NPPES |
| Washington | Other | 192088 | DEPT OF LABOR &IND. |
| Washington | MEDICAID | 8412983 | DEPT OF LABOR &IND. |
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