Brzostowicz, Mary C
Brzostowicz, Mary C is an sole proprietor health care provider with primary practice located at 901 Campus Dr Suite 302, Daly City CA 94015-4900. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Brzostowicz, Mary C can be contacted via phone (650) 756-8600.Contact Information
Primary practice address
901 Campus Dr Suite 302
Daly City CA 94015-4900
Phone: (650) 756-8600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G369130 | California |
Profile Details
| NPI number | 1487683819 |
|---|---|
| LBN Legal business name | Brzostowicz, Mary C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Jul 27th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487683819 | NPPES |
| California | MEDICAID | 00G369130 |
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