Nettlow, Mary Mckenzie

Nettlow, Mary Mckenzie is an individual health care provider with primary practice located at 4300 B St Suite 200, Anchorage AK 99503-5925. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Nettlow, Mary Mckenzie can be contacted via phone (907) 375-3355.

Contact Information

Primary practice address
4300 B St Suite 200 Anchorage AK 99503-5925
Phone: (907) 375-3355
Fax: (907) 375-3351
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 6706 Alaska

Profile Details

NPI number 1598862476
LBN Legal business name Nettlow, Mary Mckenzie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598862476 NPPES
Alaska MEDICAID MD6018

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