Mauzy, Michael Brian

Mauzy, Michael Brian is an individual health care provider with primary practice located at 800 Grand Central Mall Suite 4, Vienna WV 26105-4131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mauzy, Michael Brian can be contacted via phone (304) 485-3300.

Contact Information

Primary practice address
800 Grand Central Mall Suite 4 Vienna WV 26105-4131
Phone: (304) 485-3300
Fax: (304) 485-3317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.006811 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1661 West Virginia

Profile Details

NPI number 1417933508
LBN Legal business name Mauzy, Michael Brian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Mar 7th, 2023 - about last year

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 1417933508 NPPES
West Virginia MEDICAID 0055328000
West Virginia MEDICAID 2952667
West Virginia Other 001718435
West Virginia Other 1417933508
West Virginia Other P00375985
West Virginia Other WV01661A

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