Mazzella, John Joseph

Mazzella, John Joseph is an individual health care provider with primary practice located at 2397 State Route 36 , Atlantic Highlands NJ 07716-2532. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mazzella, John Joseph can be contacted via phone (732) 872-6595.

Contact Information

Primary practice address
2397 State Route 36 Atlantic Highlands NJ 07716-2532
Fax: (732) 872-1508
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X MC04441 New Jersey

Profile Details

NPI number 1235275074
LBN Legal business name Mazzella, John Joseph
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Dec 28th, 2007 - about 19 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 1235275074 NPPES
New Jersey Other MC04441 STATE LICENSE NUMBER

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