Jazwinski, Mary Lou

Jazwinski, Mary Lou is an individual health care provider with primary practice located at 1 Medical Center Blvd , Chester PA 19013-3902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Jazwinski, Mary Lou can be contacted via phone (610) 874-5257.

Contact Information

Primary practice address
1 Medical Center Blvd Chester PA 19013-3902
Phone: (610) 874-5257
Fax: (610) 874-7241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X OS004739L Pennsylvania

Profile Details

NPI number 1821169137
LBN Legal business name Jazwinski, Mary Lou
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated May 11th, 2016 - about 9 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 1821169137 NPPES
Pennsylvania MEDICAID 009069800

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