Bazan, Marlon S

Bazan, Marlon S is an individual health care provider with primary practice located at 315 W 15Th St , Liberal KS 67901-2455. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bazan, Marlon S can be contacted via phone (620) 629-6477.

Contact Information

Primary practice address
315 W 15Th St Liberal KS 67901-2455
Phone: (620) 629-6477
Fax: (620) 629-6651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1502129 Kansas

Profile Details

NPI number 1306329438
LBN Legal business name Bazan, Marlon S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2018
Last updated Sep 14th, 2018 - about 6 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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