Mazzara, Cheryl M

Mazzara, Cheryl M is an sole proprietor health care provider with primary practice located at 19900 E 10 Mile Rd Ste 102 , Saint Clair Shores MI 48080-4412. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Mazzara, Cheryl M can be contacted via phone (586) 776-3366.

Contact Information

Primary practice address
19900 E 10 Mile Rd Ste 102 Saint Clair Shores MI 48080-4412
Phone: (586) 776-3366
Fax: (586) 776-3369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301051598 Michigan

Profile Details

NPI number 1497776025
LBN Legal business name Mazzara, Cheryl M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Oct 11th, 2012 - about 12 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 1497776025 NPPES
Michigan Other 2605015512 BCBS

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