Mazurek, Melinda Kathryn
Mazurek, Melinda Kathryn is an individual health care provider with primary practice located at 5374 Balboa Dr , New Berlin WI 53151-8112. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mazurek, Melinda Kathryn can be contacted via phone (414) 529-9780.Contact Information
Primary practice address
5374 Balboa Dr
New Berlin WI 53151-8112
Phone: (414) 529-9780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2676024 | Wisconsin |
Profile Details
| NPI number | 1699984740 |
|---|---|
| LBN Legal business name | Mazurek, Melinda Kathryn |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699984740 | NPPES |
| Wisconsin | MEDICAID | 40141400 |
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