Provider Demographics
NPI:1851507065
Name:MAJZLIK, ALBERT JAY (DO)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:JAY
Last Name:MAJZLIK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 WAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:ELLWOOD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16117-2038
Mailing Address - Country:US
Mailing Address - Phone:724-758-6138
Mailing Address - Fax:724-758-6299
Practice Address - Street 1:524 WAYNE AVE
Practice Address - Street 2:
Practice Address - City:ELLWOOD CITY
Practice Address - State:PA
Practice Address - Zip Code:16117-2038
Practice Address - Country:US
Practice Address - Phone:724-758-6138
Practice Address - Fax:724-758-6299
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-1841-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00126744OtherRAILROAD MEDICARE
PA194289OtherUNISIN
PAP00126744OtherRAILROAD MEDICARE