Provider Demographics
NPI:1649378720
Name:JAMES F. MROZEK DC
Entity Type:Organization
Organization Name:JAMES F. MROZEK DC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:MROZEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-652-4251
Mailing Address - Street 1:3421 WILMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-3211
Mailing Address - Country:US
Mailing Address - Phone:724-652-4251
Mailing Address - Fax:724-652-6989
Practice Address - Street 1:3421 WILMINGTON RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-3211
Practice Address - Country:US
Practice Address - Phone:724-652-4251
Practice Address - Fax:724-652-6989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC1847L261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA126399Medicare ID - Type UnspecifiedMEDICARE