Provider Demographics
NPI:1306973581
Name:MAZUREK, BRIDGETTE JOYCE (L AC, DIPL AC)
Entity type:Individual
Prefix:MRS
First Name:BRIDGETTE
Middle Name:JOYCE
Last Name:MAZUREK
Suffix:
Gender:F
Credentials:L AC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 N JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-5009
Mailing Address - Country:US
Mailing Address - Phone:406-449-4914
Mailing Address - Fax:
Practice Address - Street 1:311 N JACKSON ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-5009
Practice Address - Country:US
Practice Address - Phone:406-449-4914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT16171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist