Medzerian, George
Medzerian, George is an sole proprietor health care provider with primary practice located at 850 Nw Federal Hwy # 114 , Stuart FL 34994-1019. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Medzerian, George can be contacted via phone (772) 283-0013.Contact Information
Primary practice address
850 Nw Federal Hwy # 114
Stuart FL 34994-1019
Phone: (772) 283-0013
Fax: (772) 403-5817
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY0003086 | Florida |
Profile Details
NPI number | 1134284920 |
---|---|
LBN Legal business name | Medzerian, George |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 22nd, 2006 |
Last updated | Dec 4th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134284920 | NPPES |
Other | 215000 | PHCS | |
Other | 5371572 | PHCS | |
Other | 089002 | PHCS |
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