MEDICARE: DR. ALBERT JAY MAJZLIK D.O.

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	DC-1841-L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00126744	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	194289	OTHER	PA	UNISIN

General Provider Information

NPI Number	:	1851507065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERT JAY MAJZLIK D.O.

Provider Business Mailing Address
First Line	:	524 WAYNE AVE
Second Line	:
City	:	ELLWOOD CITY
State	:	PA
Zip	:	16117-2038
Country	:	US
Telephone Number	:	724-758-6138
Fax Number	:	724-758-6299

Provider Business Practice Location Address
First Line	:	524 WAYNE AVE
Second Line	:
City	:	ELLWOOD CITY
State	:	PA
Zip	:	16117-2038
Country	:	US
Telephone Number	:	724-758-6138
Fax Number	:	724-758-6299

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	07/08/2007

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