Bacha, John

Bacha, John is an sole proprietor health care provider with primary practice located at 2221 Se Ocean Blvd Ste 200, Stuart FL 34996-3341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bacha, John can be contacted via phone (772) 219-4026.

Contact Information

Primary practice address
2221 Se Ocean Blvd Ste 200 Stuart FL 34996-3341
Phone: (772) 219-4026
Fax: (772) 223-4919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101017517 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X OS11728 Florida

Profile Details

NPI number 1215129549
LBN Legal business name Bacha, John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2007
Last updated Nov 14th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215129549 NPPES
Florida Other 14LT1 BCBS
Florida MEDICAID 005925800 BCBS

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