William N Mazzie, DC

Individual provider Active NPI Chiropractor · East Pittsburgh, PA

NPI 1104981257 · NPPES record last updated Oct 9, 2012

Key facts

NPI
1104981257
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
DC001783L (PA)
Practice address
818 East Pittsburgh Plaza
East Pittsburgh, PA 15112
Phone
(412) 823-2460
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20101109000963 PA Practitioner - Chiropractic
Practitioner - Physical Medicine and Rehabilitation
9335334952 Practice locations: East Pittsburgh, PA

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Mazzie Chiropractic Chiropractor Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC001783L PA Yes

Addresses

Primary practice location

818 East Pittsburgh Plaza
East Pittsburgh, PA 15112

Mailing address

818 East Pittsburgh Plaza
East Pittsburgh, PA 15112
Phone (412) 823-2460

Other names

  • William N Mazzie Other name

Other providers in East Pittsburgh, PA

All providers in East Pittsburgh, PA · Chiropractor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.