MEDICARE: MAZZIE CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	PA12354DC	PA

General Provider Information

NPI Number	:	1548458516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAZZIE CHIROPRACTIC

Provider Business Mailing Address
First Line	:	818 E PITTSBURGH MALL
Second Line	:
City	:	EAST PITTSBURGH
State	:	PA
Zip	:	15112-1208
Country	:	US
Telephone Number	:	412-823-2460
Fax Number	:

Provider Business Practice Location Address
First Line	:	818 E PITTSBURGH MALL
Second Line	:
City	:	EAST PITTSBURGH
State	:	PA
Zip	:	15112-1208
Country	:	US
Telephone Number	:	412-823-2460
Fax Number	:

Authorized Official
Title or Position	:	OWNER.
Name	:	DR. WILLIAM MAZZIE
Credential	:	D.C.
Telephone Number	:	412-823-2460

Provider Enumeration Date	:	10/04/2007
Last Update Date	:	10/04/2007

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