Mckenzie, David R

Mckenzie, David R is an individual health care provider with primary practice located at 121 N 20Th St Ste 19 , Opelika AL 36801-5456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mckenzie, David R can be contacted via phone (334) 749-8146.

Contact Information

Primary practice address
121 N 20Th St Ste 19 Opelika AL 36801-5456
Phone: (334) 749-8146
Fax: (334) 737-6432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 11317 Alabama

Profile Details

NPI number 1841392644
LBN Legal business name Mckenzie, David R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Feb 14th, 2013 - about 11 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 1841392644 NPPES
Other 340012694 RAILROAD MEDICARE
Other 510-28676 RAILROAD MEDICARE
MEDICAID 529700320 RAILROAD MEDICARE

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