Mckenzie, Rebecca Gail
Mckenzie, Rebecca Gail is an sole proprietor health care provider with primary practice located at 18300 Ca-18 , Apple Valley CA 92307. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Nutrition, Pediatric is her primary health care specialty. Mckenzie, Rebecca Gail can be contacted via phone (760) 242-2311.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 86075778 | California |
| Dietary & Nutritional Service Providers / Nutrition, Pediatric | 133VN1004X | 86075778 | California |
Profile Details
| NPI number | 1063977312 |
|---|---|
| LBN Legal business name | Mckenzie, Rebecca Gail |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2019 |
| Last updated | Jan 31st, 2019 - about 7 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 | 1063977312 | NPPES |
| California | Other | 86075778 | ACADEMY OF NUTRITION AND DIETETICS |
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