Mazzanti, Jeffrey A
Mazzanti, Jeffrey A is an individual health care provider with primary practice located at 1500 Associates Dr , Dubuque IA 52002-2201. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Mazzanti, Jeffrey A can be contacted via phone (563) 584-4420.Contact Information
Primary practice address
1500 Associates Dr
Dubuque IA 52002-2201
Phone: (563) 584-4420
Fax: (563) 584-4295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 00385 | Iowa |
Profile Details
| NPI number | 1689613424 |
|---|---|
| LBN Legal business name | Mazzanti, Jeffrey A |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Nov 25th, 2009 - about 15 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 | 1689613424 | NPPES |
| Iowa | MEDICAID | 033660 |
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