Mckenzie, Jason S
Mckenzie, Jason S is an sole proprietor health care provider with primary practice located at 480 E Prater Way , Sparks NV 89431-4679. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mckenzie, Jason S can be contacted via phone (775) 351-1300.Contact Information
Primary practice address
480 E Prater Way
Sparks NV 89431-4679
Phone: (775) 351-1300
Fax: (775) 351-1344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 873 | Nevada |
Profile Details
| NPI number | 1922085265 |
|---|---|
| LBN Legal business name | Mckenzie, Jason S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Jul 27th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922085265 | NPPES |
| Nevada | MEDICAID | 002016747 |
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