Bazalgette, Mark Burrell

Bazalgette, Mark Burrell is an individual health care provider with primary practice located at 165 Rowland Way Ste 200 , Novato CA 94945-5055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Bazalgette, Mark Burrell can be contacted via phone (415) 827-0344.

Contact Information

Primary practice address
165 Rowland Way Ste 200 Novato CA 94945-5055
Phone: (415) 827-0344
Fax: (415) 924-2661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X A46290 California

Profile Details

NPI number 1891806014
LBN Legal business name Bazalgette, Mark Burrell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 22nd, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891806014 NPPES
California MEDICAID 00A462900

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