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:
Health care specialties
Specialty | Code | License # | 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 3 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 | 1548218555 | NPPES |
Arizona | MEDICAID | 372326 | |
Arizona | MEDICAID | 1019195 | |
Arizona | MEDICAID | 04391255 | |
Arizona | MEDICAID | 000606339A |
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