Mckenzie, Chad M

Mckenzie, Chad M is an individual health care provider with primary practice located at 5818 Harbour View Blvd Ste 240, Suffolk VA 23435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Mckenzie, Chad M can be contacted via phone (757) 397-2383.

Contact Information

Primary practice address
5818 Harbour View Blvd Ste 240 Suffolk VA 23435
Phone: (757) 397-2383
Fax: (757) 397-5201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0102201282 Virginia

Profile Details

NPI number 1114925500
LBN Legal business name Mckenzie, Chad M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jan 15th, 2018 - about 6 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 1114925500 NPPES
North Carolina Other 89065C3 MEDICAID OF N.C.
North Carolina Other 276458 MEDICAID OF N.C.
North Carolina Other 51895 MEDICAID OF N.C.
North Carolina MEDICAID 007312393 MEDICAID OF N.C.
North Carolina Other 770003026 MEDICAID OF N.C.

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