Mincey, Mackenzie Lee
Mincey, Mackenzie Lee is an individual health care provider with primary practice located at 110 Sims Circle , Triadelphia WV 26059-1154. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mincey, Mackenzie Lee can be contacted via phone (304) 599-8000.Contact Information
Primary practice address
110 Sims Circle
Triadelphia WV 26059-1154
Phone: (304) 599-8000
Fax: (304) 599-8003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 26742 | West Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35127525 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 28153 | South Carolina |
Profile Details
| NPI number | 1659405249 |
|---|---|
| LBN Legal business name | Mincey, Mackenzie Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Apr 1st, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659405249 | NPPES |
| Ohio | MEDICAID | 0170258 | |
| Ohio | MEDICAID | 281536 | |
| Ohio | MEDICAID | 1659405249 |
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