Mazurkivich, Stephen Jad
Mazurkivich, Stephen Jad is an individual health care provider with primary practice located at 4102 Pinion Dr , Usaf Academy CO 80840-2502. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mazurkivich, Stephen Jad can be contacted via phone (719) 524-2273.Contact Information
Primary practice address
4102 Pinion Dr
Usaf Academy CO 80840-2502
Phone: (719) 524-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DR.0070074 | Colorado |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101272254 | Virginia |
Profile Details
| NPI number | 1144781360 |
|---|---|
| LBN Legal business name | Mazurkivich, Stephen Jad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2019 |
| Last updated | May 10th, 2024 - about last year |
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 | 1144781360 | NPPES |
| Colorado | Other | 029548 | KAISER COMMERCIAL NUMBER |
| Colorado | MEDICAID | 9000214261 | KAISER COMMERCIAL NUMBER |
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