Mazurek, Mitchell J

Mazurek, Mitchell J is an sole proprietor health care provider with primary practice located at 1101 Glendale Blvd , Valparaiso IN 46383-3767. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Mazurek, Mitchell J can be contacted via phone (219) 464-2907.

Contact Information

Primary practice address
1101 Glendale Blvd Valparaiso IN 46383-3767
Phone: (219) 464-2907
Fax: (219) 462-1054
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 01040686A Indiana
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 01040686A Indiana

Profile Details

NPI number 1043259328
LBN Legal business name Mazurek, Mitchell J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2006
Last updated Jul 17th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043259328 NPPES
Indiana MEDICAID 100097710

Popular Providers