Moczydlowski, Elizabeth Ann

Moczydlowski, Elizabeth Ann is an individual health care provider with primary practice located at 6306 N 7Th St , Phoenix AZ 85014-1549. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Moczydlowski, Elizabeth Ann can be contacted via phone (602) 279-5801.

Contact Information

Primary practice address
6306 N 7Th St Phoenix AZ 85014-1549
Phone: (602) 279-5801
Fax: (602) 279-0785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 3379 Arizona

Profile Details

NPI number 1467582593
LBN Legal business name Moczydlowski, Elizabeth Ann
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 18 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 1467582593 NPPES
Arizona Other 975823 AHCCCS ID

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