Mazurek, Michael S
Mazurek, Michael S is an individual health care provider with primary practice located at 702 Barnhill Dr , Indianapolis IN 46202-5128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Mazurek, Michael S can be contacted via phone (317) 274-0273.Contact Information
Primary practice address
702 Barnhill Dr
Indianapolis IN 46202-5128
Phone: (317) 274-0273
Fax: (317) 567-2191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01050827 | Indiana |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 01050827 | Indiana |
Profile Details
| NPI number | 1780637108 |
|---|---|
| LBN Legal business name | Mazurek, Michael S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Dec 21st, 2009 - about 16 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 | 1780637108 | NPPES |
| Indiana | MEDICAID | 200233330 |
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