Mazur, Michelle L

Mazur, Michelle L is an individual health care provider with primary practice located at 535 E Main St Ste D , Lander WY 82520-3424. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Mazur, Michelle L can be contacted via phone (307) 335-3471.

Contact Information

Primary practice address
535 E Main St Ste D Lander WY 82520-3424
Phone: (307) 335-3471
Fax: (307) 332-5388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT814 Wyoming

Profile Details

NPI number 1114061611
LBN Legal business name Mazur, Michelle L
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Dec 5th, 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 1114061611 NPPES
Washington Other 5245MA REGENCE BLUE SHIELD
Washington Other 8950731 REGENCE BLUE SHIELD
Washington Other 0218062 REGENCE BLUE SHIELD
Washington Other 8950731 REGENCE BLUE SHIELD

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