Kunzman-Mazdzer, Audra Janice
Kunzman-Mazdzer, Audra Janice is an individual health care provider with primary practice located at 350 S Landmark Ave , Bloomington IN 47403-5001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kunzman-Mazdzer, Audra Janice can be contacted via phone (812) 335-2434.Contact Information
Primary practice address
350 S Landmark Ave
Bloomington IN 47403-5001
Phone: (812) 335-2434
Fax: (812) 335-7604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01058206A | Indiana |
Profile Details
| NPI number | 1144227174 |
|---|---|
| LBN Legal business name | Kunzman-Mazdzer, Audra Janice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Nov 2nd, 2021 - about 3 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 | 1144227174 | NPPES |
| Indiana | MEDICAID | 200386000 |
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