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
Phone: (502) 899-6782
Fax: (502) 899-6783
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407018187 | NPPES |
Kentucky | Other | 000000824411 | ANTHEM |
Kentucky | MEDICAID | 7100245160 | ANTHEM |
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