Bazan, Hernan Antonio
Bazan, Hernan Antonio is an individual health care provider with primary practice located at 1514 Jefferson Highway 8Th Floor-Clinic, New Orleans LA 07012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Bazan, Hernan Antonio can be contacted via phone (504) 842-4053.Contact Information
Primary practice address
1514 Jefferson Highway 8Th Floor-Clinic
New Orleans LA 07012
Phone: (504) 842-4053
Fax: (504) 842-5017
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 044485 | Connecticut |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 201525 | Louisiana |
Profile Details
NPI number | 1073714358 |
---|---|
LBN Legal business name | Bazan, Hernan Antonio |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 31st, 2007 |
Last updated | Mar 7th, 2023 - about 2 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 | 1073714358 | NPPES |
Connecticut | Other | 044485 | LICENSE |
Connecticut | MEDICAID | 01078003 | LICENSE |
Connecticut | MEDICAID | 1014630 | LICENSE |
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