Malazdrewicz, Edward John
Malazdrewicz, Edward John is an individual health care provider with primary practice located at 1400 37Th Ave Sw , Minot ND 58701-7244. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Malazdrewicz, Edward John can be contacted via phone (701) 852-6565.Contact Information
Primary practice address
1400 37Th Ave Sw
Minot ND 58701-7244
Phone: (701) 852-6565
Fax: (701) 838-9381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 1149 | North Dakota |
Profile Details
| NPI number | 1467437673 |
|---|---|
| LBN Legal business name | Malazdrewicz, Edward John |
| Credentials | AUD FAAA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Jul 27th, 2011 - about 13 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 | 1467437673 | NPPES |
| North Dakota | MEDICAID | 55823 |
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