Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC-001847-L | PA |
NPI | 1538122189 |
---|---|
Provider Name | Dr. James Francis Mrozek |
First Address | New Castle, PA 16105-3211 |
Second Address | New Castle, PA 16105-3211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T29324 | (02) | PA |