Mazoch, Mathew

Mazoch, Mathew is an individual health care provider with primary practice located at 7301 Hennessy Blvd Ste 200 , Baton Rouge LA 70808-4794. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mazoch, Mathew can be contacted via phone (225) 766-0050.

Contact Information

Primary practice address
7301 Hennessy Blvd Ste 200 Baton Rouge LA 70808-4794
Phone: (225) 766-0050
Fax: (225) 766-1499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 303962 Louisiana

Profile Details

NPI number 1598055055
LBN Legal business name Mazoch, Mathew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2011
Last updated Jul 21st, 2022 - 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.

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