Mazanek, Denise Bradshaw

Mazanek, Denise Bradshaw is an individual health care provider with primary practice located at 5130 Paseo Las Palmas , Sierra Vista AZ 85635-3933. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Mazanek, Denise Bradshaw can be contacted via phone (520) 515-2970.

Contact Information

Primary practice address
5130 Paseo Las Palmas Sierra Vista AZ 85635-3933
Phone: (520) 515-2970
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 3554159 Arizona

Profile Details

NPI number 1801193180
LBN Legal business name Mazanek, Denise Bradshaw
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2011
Last updated Feb 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801193180 NPPES
Arizona MEDICAID 579633

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