Wilson, Alix Mackenzie

Wilson, Alix Mackenzie is an individual health care provider with primary practice located at 747 52Nd St , Oakland CA 94609-1809. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Wilson, Alix Mackenzie can be contacted via phone (203) 570-0111.

Contact Information

Primary practice address
747 52Nd St Oakland CA 94609-1809
Phone: (203) 570-0111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 55025 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA55025 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA55025 California

Profile Details

NPI number 1912419276
LBN Legal business name Wilson, Alix Mackenzie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2017
Last updated Mar 17th, 2018 - about 7 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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