Mackenzie, Diana Charlene
Mackenzie, Diana Charlene is an individual health care provider with primary practice located at 620 Lansing Station Rd A3, Lansing NY 14882-8831. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mackenzie, Diana Charlene can be contacted via phone (607) 227-6240.Contact Information
Primary practice address
620 Lansing Station Rd A3
Lansing NY 14882-8831
Phone: (607) 227-6240
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 246199-1 | New York |
Profile Details
NPI number | 1972542504 |
---|---|
LBN Legal business name | Mackenzie, Diana Charlene |
Credentials | Licensed Practical Nurse (LPN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2006 |
Last updated | Jul 9th, 2007 - about 18 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 | 1972542504 | NPPES |
New York | MEDICAID | 02714845 | |
New York | MEDICAID | VD3 |
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