Mckenzie, Stacey W
Mckenzie, Stacey W is an individual health care provider with primary practice located at 2151 Century Ln , Johnson City TN 37604-4469. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Mckenzie, Stacey W can be contacted via phone (423) 926-2500.Contact Information
Primary practice address
2151 Century Ln
Johnson City TN 37604-4469
Phone: (423) 926-2500
Fax: (423) 926-5999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 18756 | Tennessee |
Profile Details
| NPI number | 1699768101 |
|---|---|
| LBN Legal business name | Mckenzie, Stacey W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | May 3rd, 2017 - about 9 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 | 1699768101 | NPPES |
| Tennessee | MEDICAID | Q010241 |
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