Mazur, Mark J.

Mazur, Mark J. is an individual health care provider with primary practice located at 420 N James Rd , Columbus OH 43219-1834. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Mazur, Mark J. can be contacted via phone (614) 257-5200.

Contact Information

Primary practice address
420 N James Rd Columbus OH 43219-1834
Phone: (614) 257-5200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36.003150 Ohio
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36003150 Ohio

Profile Details

NPI number 1134122971
LBN Legal business name Mazur, Mark J.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 21st, 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 1134122971 NPPES
Ohio MEDICAID 2326450
Ohio Other 480033771

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