Bazaldua, Gilbert

Bazaldua, Gilbert is an individual health care provider with primary practice located at 614B Hwy 76 , White House TN 37188. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bazaldua, Gilbert can be contacted via phone (615) 672-3767.

Contact Information

Primary practice address
614B Hwy 76 White House TN 37188
Phone: (615) 672-3767
Fax: (615) 672-1118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD012487 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD12487 Tennessee

Profile Details

NPI number 1417011008
LBN Legal business name Bazaldua, Gilbert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jan 11th, 2011 - about 15 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 1417011008 NPPES
Tennessee Other 003132265 BLUE CROSS
Tennessee Other 44D0307958 BLUE CROSS

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