Mazzola, David John
Mazzola, David John is an sole proprietor health care provider with primary practice located at 3151 E Holladay St , Tucson AZ 85706-2819. He recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as his primary health care specialty. Mazzola, David John can be contacted via phone (520) 889-2453.Contact Information
Primary practice address
3151 E Holladay St
Tucson AZ 85706-2819
Phone: (520) 889-2453
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 9209 | Arizona |
Profile Details
| NPI number | 1033317862 |
|---|---|
| LBN Legal business name | Mazzola, David John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1033317862 | NPPES |
| Arizona | MEDICAID | 894429 |
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