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Mackenzie Burke

Student in an Organized Health Care Education/Training Program in Brooklyn, MI. Individual provider (NPI-1).

NPI number1992670574
StatusActive
Last updated in NPPESOct 6, 2025

Details

NPI
1992670574
Entity type
Individual (NPI-1)
Name
Mackenzie Burke
Sole proprietor
Yes
Enumeration date
Oct 6, 2025
Certification date
Oct 6, 2025
Last updated
Oct 6, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

119 Bingham Dr
Brooklyn, MI 49230-8926

Phone 248-928-6343

Mailing address

119 Bingham Dr
Brooklyn, MI 49230-8926

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Brooklyn, MI

All 17 Student in an Organized Health Care Education/Training Program providers in Brooklyn · All 154 providers in Brooklyn

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