Bazeley, Jonathan William
Bazeley, Jonathan William is an individual health care provider with primary practice located at 1801 N Senate Blvd Ste 3300 , Indianapolis IN 46202-1184. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Bazeley, Jonathan William can be contacted via phone (317) 963-6875.Contact Information
Primary practice address
1801 N Senate Blvd Ste 3300
Indianapolis IN 46202-1184
Phone: (317) 963-6875
Fax: (317) 968-1395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 4301089565 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4301089565 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301089565 | Michigan |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 01070207A | Indiana |
Profile Details
| NPI number | 1750580445 |
|---|---|
| LBN Legal business name | Bazeley, Jonathan William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Nov 25th, 2020 - about 5 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 | 1750580445 | NPPES |
| Indiana | Other | 000000732188 | ANTHEM |
| Indiana | MEDICAID | 201032900 | ANTHEM |
| Indiana | Other | P01076920 | ANTHEM |
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