Bright, Mckenzie
Bright, Mckenzie is an sole proprietor health care provider with primary practice located at 2376 N 400 E Ste 102 , Tooele UT 84074-3413. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bright, Mckenzie can be contacted via phone (435) 843-1225.Contact Information
Primary practice address
2376 N 400 E Ste 102
Tooele UT 84074-3413
Phone: (435) 843-1225
Fax: (435) 843-1228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 11383505-1206 | Utah |
Profile Details
| NPI number | 1043869639 |
|---|---|
| LBN Legal business name | Bright, Mckenzie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2019 |
| Last updated | Sep 6th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043869639 | NPPES |
| Utah | Other | 11383505-1206 | MEDICAL LICENSE |
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