Holcomb, Mackenzie Jill

Holcomb, Mackenzie Jill is an individual health care provider with primary practice located at 1301 Fortino Blvd , Pueblo CO 81008-2032. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Holcomb, Mackenzie Jill can be contacted via phone (719) 696-7799.

Contact Information

Primary practice address
1301 Fortino Blvd Pueblo CO 81008-2032
Phone: (719) 696-7799
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X

Profile Details

NPI number 1396305611
LBN Legal business name Holcomb, Mackenzie Jill
Credentials OTD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2019
Last updated May 2nd, 2024 - about 2 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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