Mazzolini, Joe Michael

Mazzolini, Joe Michael is an individual health care provider with primary practice located at 1508 Tombras Ave , Chattanooga TN 37412-2720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Mazzolini, Joe Michael can be contacted via phone (423) 867-4969.

Contact Information

Primary practice address
1508 Tombras Ave Chattanooga TN 37412-2720
Phone: (423) 867-4969
Fax: (423) 867-4971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X MD0000018056 Tennessee

Profile Details

NPI number 1811908718
LBN Legal business name Mazzolini, Joe Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 2nd, 2015 - about 9 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 1811908718 NPPES
Tennessee Other 6029072 BCBS OF TENNESSEE
Tennessee MEDICAID Q008885 BCBS OF TENNESSEE

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