Mckenzie, Douglas

Mckenzie, Douglas is an individual health care provider with primary practice located at 500 Campus Dr , Hancock MI 49930-1569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mckenzie, Douglas can be contacted via phone (906) 483-1060.

Contact Information

Primary practice address
500 Campus Dr Hancock MI 49930-1569
Phone: (906) 483-1060
Fax: (906) 483-1066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301053781 Michigan

Profile Details

NPI number 1063425213
LBN Legal business name Mckenzie, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Apr 14th, 2021 - about 5 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 1063425213 NPPES
Michigan MEDICAID 103097998
Michigan Other 0829560001
Michigan Other 0C16002
Michigan Other DM053781

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