Mckenzie, Amy L

Mckenzie, Amy L is an individual health care provider with primary practice located at 15501 Metropolitan Pkwy Ste 110, Clinton Township MI 48036-1684. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mckenzie, Amy L can be contacted via phone (586) 286-9720.

Contact Information

Primary practice address
15501 Metropolitan Pkwy Ste 110 Clinton Township MI 48036-1684
Phone: (586) 286-9720
Fax: (586) 286-3134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X AM069839 Michigan

Profile Details

NPI number 1083657894
LBN Legal business name Mckenzie, Amy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Feb 3rd, 2009 - about 16 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 1083657894 NPPES
Michigan Other 0501612 BLUE CROSS BLUE SHIELD

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