Johnson, Mackenzie Renae

Johnson, Mackenzie Renae is an sole proprietor health care provider with primary practice located at 1809 Thistle Rd , Flagstaff AZ 86004-7790. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Johnson, Mackenzie Renae can be contacted via phone (928) 856-1362.

Contact Information

Primary practice address
1809 Thistle Rd Flagstaff AZ 86004-7790
Phone: (928) 856-1362
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 120200 Arizona

Profile Details

NPI number 1043441066
LBN Legal business name Johnson, Mackenzie Renae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2009
Last updated Jun 10th, 2010 - about 16 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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