Paciorek, Staci Marazoni
Paciorek, Staci Marazoni is an sole proprietor health care provider with primary practice located at 12840 Riverside Dr Suite 201, Valley Village CA 91607-3327. She recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as her primary health care specialty. Paciorek, Staci Marazoni can be contacted via phone (818) 905-3313.Contact Information
Primary practice address
12840 Riverside Dr Suite 201
Valley Village CA 91607-3327
Phone: (818) 905-3313
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | 19528 | California |
Profile Details
| NPI number | 1740358720 |
|---|---|
| LBN Legal business name | Paciorek, Staci Marazoni |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jun 15th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740358720 | NPPES |
| California | Other | DC019528 | BLUE SHIELD |
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