Bazant, Mark Paul

Bazant, Mark Paul is an individual health care provider with primary practice located at 3991 Dutchmans Ln Suite 310, Louisville KY 40207-4700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bazant, Mark Paul can be contacted via phone (502) 899-6782.

Contact Information

Primary practice address
3991 Dutchmans Ln Suite 310 Louisville KY 40207-4700
Fax: (502) 899-6783
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01071068A Indiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 45824 Kentucky

Profile Details

NPI number 1407018187
LBN Legal business name Bazant, Mark Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated Jan 12th, 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 1407018187 NPPES
Kentucky Other 000000824411 ANTHEM
Kentucky MEDICAID 7100245160 ANTHEM

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