Bazemore, Gregory Maurice
Bazemore, Gregory Maurice is an individual health care provider with primary practice located at 3504 Leslie Ave , Temple Hills MD 20748-4634. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Bazemore, Gregory Maurice can be contacted via phone (703) 955-2567.Contact Information
Primary practice address
3504 Leslie Ave
Temple Hills MD 20748-4634
Phone: (703) 955-2567
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X |
Profile Details
| NPI number | 1558849034 |
|---|---|
| LBN Legal business name | Bazemore, Gregory Maurice |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2018 |
| Last updated | Aug 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558849034 | NPPES |
| Maryland | Other | 83-1473231 | HAIR LOSS PRACTITIONER |
| Maryland | MEDICAID | 83-1473231 | HAIR LOSS PRACTITIONER |
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