Mckenzie, Jason S

Mckenzie, Jason S is an sole proprietor health care provider with primary practice located at 480 E Prater Way , Sparks NV 89431-4679. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mckenzie, Jason S can be contacted via phone (775) 351-1300.

Contact Information

Primary practice address
480 E Prater Way Sparks NV 89431-4679
Fax: (775) 351-1344
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 873 Nevada

Profile Details

NPI number 1922085265
LBN Legal business name Mckenzie, Jason S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated Jul 27th, 2017 - about 8 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 1922085265 NPPES
Nevada MEDICAID 002016747

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