Mazurek, Robert T

Mazurek, Robert T is an sole proprietor health care provider with primary practice located at 168 N Brent St Suite 501, Ventura CA 93003-2840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mazurek, Robert T can be contacted via phone (805) 641-0273.

Contact Information

Primary practice address
168 N Brent St Suite 501 Ventura CA 93003-2840
Fax: (805) 641-0574
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A46108 California

Profile Details

NPI number 1639191141
LBN Legal business name Mazurek, Robert T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Feb 28th, 2014 - about 12 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 1639191141 NPPES
California Other A46108A PTAN
California MEDICAID 00A461080 PTAN

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