Nickerson, Mackenzie

Nickerson, Mackenzie is an individual health care provider with primary practice located at 6 Digital Dr , Biddeford ME 04005-4418. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Nickerson, Mackenzie can be contacted via phone (207) 800-3347.

Contact Information

Primary practice address
6 Digital Dr Biddeford ME 04005-4418
Fax:
Website:

Profile Details

NPI number 1336761444
LBN Legal business name Nickerson, Mackenzie
Credentials LADC, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2020
Last updated Jun 19th, 2024 - about last year

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 1336761444 NPPES
Maine Other LC7602 LADC
Maine Other CCS7931 LADC

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