Mazeika, Gandis G.

Mazeika, Gandis G. is an sole proprietor health care provider with primary practice located at 21701 76Th Ave W Ste 206 , Edmonds WA 98026-7536. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Mazeika, Gandis G. can be contacted via phone (425) 636-2400.

Contact Information

Primary practice address
21701 76Th Ave W Ste 206 Edmonds WA 98026-7536
Phone: (425) 636-2400
Fax: (425) 636-2401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00038659 Washington
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X MD00038659 Washington

Profile Details

NPI number 1679518880
LBN Legal business name Mazeika, Gandis G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2006
Last updated Oct 12th, 2022 - about 2 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 1679518880 NPPES
Washington MEDICAID 1110972

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