Mrozek, Martin M

Mrozek, Martin M is an individual health care provider with primary practice located at 27 Parsons Lane , Fayetteville WV 25840-0957. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Mrozek, Martin M can be contacted via phone (304) 574-2310.

Contact Information

Primary practice address
27 Parsons Lane Fayetteville WV 25840-0957
Phone: (304) 574-2310
Fax: (304) 574-2311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 00282 West Virginia

Profile Details

NPI number 1437119856
LBN Legal business name Mrozek, Martin M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Sep 11th, 2008 - about 16 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 1437119856 NPPES
West Virginia MEDICAID 0099788000
West Virginia Other 353171
West Virginia Other 223203
West Virginia Other P00252983
West Virginia Other 001721891
West Virginia Other 4281890001

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