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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154612984 NPPES
Texas Other 11694 CHIROPRACTIC LICENSE

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