Bazaco, Robert
Bazaco, Robert is an individual health care provider with primary practice located at 2400 Highway 95 Ste 50 , Bullhead City AZ 86442-7313. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bazaco, Robert can be contacted via phone (928) 444-8405.Contact Information
Primary practice address
2400 Highway 95 Ste 50
Bullhead City AZ 86442-7313
Phone: (928) 444-8405
Fax: (928) 299-5300
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 48283 | Arizona |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 48283 | Arizona |
Profile Details
NPI number | 1487931770 |
---|---|
LBN Legal business name | Bazaco, Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 15th, 2011 |
Last updated | Oct 2nd, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487931770 | NPPES |
Arizona | Other | 3120998 | CIGNA |
Arizona | MEDICAID | 879064 | CIGNA |
Arizona | Other | 7387955 | CIGNA |
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