Bazan, Luisa Fernanda

Bazan, Luisa Fernanda is an individual health care provider with primary practice located at 2799 West Grand Boulevard Henry Ford Health System, Detroit MI 48202. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is her primary health care specialty. Bazan, Luisa Fernanda can be contacted via phone (313) 916-2421.

Contact Information

Primary practice address
2799 West Grand Boulevard Henry Ford Health System Detroit MI 48202
Phone: (313) 916-2421
Fax: (313) 916-9102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301073791 Michigan
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4301073791 Michigan
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 4301073791 Michigan

Profile Details

NPI number 1891863320
LBN Legal business name Bazan, Luisa Fernanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Mar 5th, 2021 - about 3 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 1891863320 NPPES
Other LB073791 COMMERCIAL-COMMERCIAL NUMBER
MEDICAID 481026010 COMMERCIAL-COMMERCIAL NUMBER
Other LB073791 COMMERCIAL-COMMERCIAL NUMBER
Other 700H262220 COMMERCIAL-COMMERCIAL NUMBER

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