Mazzola, John Arthur
Mazzola, John Arthur is an individual health care provider with primary practice located at 443 Main Street , Lewiston ME 04240-6733. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mazzola, John Arthur can be contacted via phone (207) 783-7081.Contact Information
Primary practice address
443 Main Street
Lewiston ME 04240-6733
Phone: (207) 783-7081
Fax: (207) 783-0500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS355 | Maine |
Profile Details
| NPI number | 1619073053 |
|---|---|
| LBN Legal business name | Mazzola, John Arthur |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1619073053 | NPPES |
| Maine | Other | 003607 | ANTHEM BCBS |
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