Gatzke, Mackenzi Kay

Gatzke, Mackenzi Kay is an individual health care provider with primary practice located at 71 Charles St , Deadwood SD 57732-1303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gatzke, Mackenzi Kay can be contacted via phone (605) 717-6431.

Contact Information

Primary practice address
71 Charles St Deadwood SD 57732-1303
Phone: (605) 717-6431
Fax: (605) 717-8033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1169 South Dakota

Profile Details

NPI number 1356818900
LBN Legal business name Gatzke, Mackenzi Kay
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2018
Last updated Oct 31st, 2018 - 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 1356818900 NPPES
South Dakota Other 1169 SOUTH DAKOTA BOARD OF MEDICAL AND OSTEOPATHIC EXAMINERS

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