Bauzo, Luis A

Bauzo, Luis A is an individual health care provider with primary practice located at 275 Route 30 N , Bomoseen VT 05732-9647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bauzo, Luis A can be contacted via phone (802) 468-5641.

Contact Information

Primary practice address
275 Route 30 N Bomoseen VT 05732-9647
Phone: (802) 468-5641
Fax: (802) 468-2923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042-0011290 Vermont

Profile Details

NPI number 1598930844
LBN Legal business name Bauzo, Luis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Nov 18th, 2016 - about 9 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 1598930844 NPPES
New York MEDICAID 03890448
New York MEDICAID 1015069

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