Dr. Mitchell J Mazurek
Rehabilitation Practitioner Physical Medicine & Rehabilitation Doctor
1101 Glendale Blvd
Valparaiso
, Indiana 46383-3767
Dr. Mitchell J Mazurek
Rehabilitation Practitioner Physical Medicine & Rehabilitation Doctor
1101 Glendale Blvd
Valparaiso
, Indiana 46383-3767
(219) 462-1054
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Dr. Mitchell J Mazurek
- 1101 Glendale Blvd
- Valparaiso, IN
- Zip : 46383-3767
- Fax : (219) 462-1054
- Phone : (219) 464-2907
Second Address
- Dr. Mitchell J Mazurek
- 1101 Glendale Blvd
- Valparaiso, IN
- Zip : 46383-3767
- Fax : (219) 462-1054
- Phone : (219) 464-2907
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FAQs
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Is Dr. Mitchell J Mazurek a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 01040686A | IN |
| N | 225400000X | Rehabilitation Practitioner | 01040686A | IN |
National Provider Identifier
| NPI | 1043259328 |
|---|---|
| Provider Name | Dr. Mitchell J Mazurek |
| First Address | Valparaiso, IN 46383-3767 |
| Second Address | Valparaiso, IN 46383-3767 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2006 |
| Last Update Date | 17/07/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100097710 | (05) | IN |
| E72831 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.