Mazzie, Shelley A.

Mazzie, Shelley A. is an individual health care provider with primary practice located at 9848 North Tryon Street , Charlotte NC 28262. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Mazzie, Shelley A. can be contacted via phone (704) 323-2000.

Contact Information

Primary practice address
9848 North Tryon Street Charlotte NC 28262
Phone: (704) 323-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 001799 West Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 12370 North Carolina

Profile Details

NPI number 1922004761
LBN Legal business name Mazzie, Shelley A.
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Sep 26th, 2011 - about 15 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 1922004761 NPPES
West Virginia MEDICAID 0158210-001
West Virginia Other 650023877

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