Mutziger, John C.

Mutziger, John C. is an individual health care provider with primary practice located at 14884 Hwy 15 , Decatur MS 39327. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mutziger, John C. can be contacted via phone (601) 635-2258.

Contact Information

Primary practice address
14884 Hwy 15 Decatur MS 39327
Phone: (601) 635-2258
Fax: (601) 635-2259
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10066 Mississippi
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 10066 Mississippi

Profile Details

NPI number 1528041639
LBN Legal business name Mutziger, John C.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Oct 20th, 2016 - about 9 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 1528041639 NPPES
Mississippi MEDICAID 00011490

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