Mazza, Dominic

Mazza, Dominic is an individual health care provider with primary practice located at 36 Lydia Dr , Guttenberg NJ 07093-8366. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mazza, Dominic can be contacted via phone (201) 317-6104.

Contact Information

Primary practice address
36 Lydia Dr Guttenberg NJ 07093-8366
Phone: (201) 317-6104
Fax: (201) 868-0874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 38MC00553500 New Jersey

Profile Details

NPI number 1659516466
LBN Legal business name Mazza, Dominic
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2008
Last updated Jul 14th, 2014 - about 10 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 1659516466 NPPES
New Jersey Other 38MC00553500 NJ LICENSE NUMBER

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