Bazemore, Marian Stewart

Bazemore, Marian Stewart is an individual health care provider with primary practice located at 75 Calhoun St , Charleston SC 29401-3538. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Bazemore, Marian Stewart can be contacted via phone (843) 852-6524.

Contact Information

Primary practice address
75 Calhoun St Charleston SC 29401-3538
Phone: (843) 852-6524
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1477999621
LBN Legal business name Bazemore, Marian Stewart
Credentials ED.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2013
Last updated May 15th, 2013 - about 13 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 1477999621 NPPES
South Carolina MEDICAID 1588615918

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