Jagodzinski, Mark Andrew

Jagodzinski, Mark Andrew is an sole proprietor health care provider with primary practice located at 12515 W Bell Rd Ste 103 , Surprise AZ 85378-9701. He recently has 6 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Jagodzinski, Mark Andrew can be contacted via phone (623) 234-4171.

Contact Information

Primary practice address
12515 W Bell Rd Ste 103 Surprise AZ 85378-9701
Phone: (623) 234-4171
Fax: (623) 234-4173
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5576 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 5576 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X 5576 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 5576 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 5576 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 5576 Arizona

Profile Details

NPI number 1891732467
LBN Legal business name Jagodzinski, Mark Andrew
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2006
Last updated Jan 17th, 2023 - about 3 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 1891732467 NPPES
Arizona MEDICAID 738792

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