Mckenzie, Mitchel Matthew
Mckenzie, Mitchel Matthew is an sole proprietor health care provider with primary practice located at 600 John Deere Rd Ste 301 , Moline IL 61265-6812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mckenzie, Mitchel Matthew can be contacted via phone (309) 779-4400.Contact Information
Primary practice address
600 John Deere Rd Ste 301
Moline IL 61265-6812
Phone: (309) 779-4400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301099175 | Michigan |
Profile Details
| NPI number | 1770865164 |
|---|---|
| LBN Legal business name | Mckenzie, Mitchel Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2011 |
| Last updated | Aug 8th, 2016 - about 10 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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