Miller, Makenzi Lane
Miller, Makenzi Lane is an individual health care provider with primary practice located at 1060 Sw 4Th St , Moore OK 73160-2494. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Miller, Makenzi Lane can be contacted via phone (405) 378-5491.Contact Information
Primary practice address
1060 Sw 4Th St
Moore OK 73160-2494
Phone: (405) 378-5491
Fax: (405) 378-5492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 4676 | Oklahoma |
Profile Details
| NPI number | 1104581644 |
|---|---|
| LBN Legal business name | Miller, Makenzi Lane |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2021 |
| Last updated | Dec 23rd, 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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