Puckett, Mackenzie Heather

Puckett, Mackenzie Heather is an sole proprietor health care provider with primary practice located at 5 Lane Ln , Sheridan WY 82801-8630. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Puckett, Mackenzie Heather can be contacted via phone (307) 674-6878.

Contact Information

Primary practice address
5 Lane Ln Sheridan WY 82801-8630
Phone: (307) 674-6878
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1679818702
LBN Legal business name Puckett, Mackenzie Heather
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2012
Last updated Nov 29th, 2012 - about 14 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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