Rodarte, Mckenzie Lynn
Rodarte, Mckenzie Lynn is an individual health care provider with primary practice located at 716 E 4500 S Ste S260 , Murray UT 84107-3611. 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. Rodarte, Mckenzie Lynn can be contacted via phone (385) 474-6111.Contact Information
Primary practice address
716 E 4500 S Ste S260
Murray UT 84107-3611
Phone: (385) 474-6111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1619594983 |
|---|---|
| LBN Legal business name | Rodarte, Mckenzie Lynn |
| Credentials | SUDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2020 |
| Last updated | Jul 2nd, 2020 - about 6 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 | 1619594983 | NPPES |
| Utah | MEDICAID | 162327053 |
Popular Providers
-
Gardner, Gordon Paul
650 E 4500 S Ste 300 , Murray UT 84107-4502 -
Colombo, Giovanna Eliana
164 E 5900 S , Murray UT 84107-7256 -
Zundel, Kimberly
345 E 4500 S # 100 , Murray UT 84107-3991 -
Jones, Russ
5965 S 900 E , Murray UT 84121-1720 -
Kadet, Jeanne
5244 Lyngate Ct Suite 200, Burke VA 22015-1631 -
Drabner, Debra
164 E 5900 S Ste A101 , Murray UT 84107-7279 -
Moore, Courtney
164 E 5900 S Ste 101 , Murray UT 84107-7256 -
Bateman, Annette
5965 S 900 E , Murray UT 84121-1720