Mckenzie, Rebecca Gail

Mckenzie, Rebecca Gail is an sole proprietor health care provider with primary practice located at 18300 Ca-18 , Apple Valley CA 92307. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Nutrition, Pediatric is her primary health care specialty. Mckenzie, Rebecca Gail can be contacted via phone (760) 242-2311.

Contact Information

Primary practice address
18300 Ca-18 Apple Valley CA 92307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86075778 California
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 86075778 California

Profile Details

NPI number 1063977312
LBN Legal business name Mckenzie, Rebecca Gail
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2019
Last updated Jan 31st, 2019 - about 5 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 1063977312 NPPES
California Other 86075778 ACADEMY OF NUTRITION AND DIETETICS

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