Bazan, Juan Daniel
Bazan, Juan Daniel is an individual health care provider with primary practice located at 66 Gruene Park Dr Ste 109 , New Braunfels TX 78130-2219. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Rehabilitation is his primary health care specialty. Bazan, Juan Daniel can be contacted via phone (210) 318-3007.Contact Information
Primary practice address
66 Gruene Park Dr Ste 109
New Braunfels TX 78130-2219
Phone: (210) 318-3007
Fax: (210) 468-0682
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 11694 | Texas |
Chiropractic Providers / Rehabilitation | 111NR0400X | 11694 | Texas |
Profile Details
NPI number | 1154612984 |
---|---|
LBN Legal business name | Bazan, Juan Daniel |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 27th, 2011 |
Last updated | Oct 26th, 2023 - about last year |
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 | 1154612984 | NPPES |
Texas | Other | 11694 | CHIROPRACTIC LICENSE |
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