Tolzin, Marisa E

Tolzin, Marisa E is an individual health care provider with primary practice located at 645 Plaza Dr , Sycamore IL 60178. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Tolzin, Marisa E can be contacted via phone (815) 895-2298.

Contact Information

Primary practice address
645 Plaza Dr Sycamore IL 60178
Phone: (815) 895-2298
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 019.031722 Illinois

Profile Details

NPI number 1356838627
LBN Legal business name Tolzin, Marisa E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2018
Last updated Jun 18th, 2018 - about 6 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 1356838627 NPPES
Illinois Other 019.031722 ILLINOIS STATE LICENSE

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