Mckenzie, Dean Wm

Mckenzie, Dean Wm is an individual health care provider with primary practice located at 13395 N Marana Main St , Marana AZ 85653-7008. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Mckenzie, Dean Wm can be contacted via phone (520) 682-1091.

Contact Information

Primary practice address
13395 N Marana Main St Marana AZ 85653-7008
Phone: (520) 682-1091
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 042.0012187 Vermont
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 042.0012187 Vermont
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 37977 Arizona

Profile Details

NPI number 1548218555
LBN Legal business name Mckenzie, Dean Wm
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jan 13th, 2021 - about 4 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 1548218555 NPPES
Arizona MEDICAID 372326
Arizona MEDICAID 1019195
Arizona MEDICAID 04391255
Arizona MEDICAID 000606339A

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