Bazey, Lori A

Bazey, Lori A is an individual health care provider with primary practice located at 3035 Demers Ave , Grand Forks ND 58201-4040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bazey, Lori A can be contacted via phone (701) 775-3151.

Contact Information

Primary practice address
3035 Demers Ave Grand Forks ND 58201-4040
Phone: (701) 775-3151
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R22456 North Dakota

Profile Details

NPI number 1780790394
LBN Legal business name Bazey, Lori A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Apr 23rd, 2008 - about 16 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 1780790394 NPPES
Minnesota Other 010M8BA BCBS
Minnesota MEDICAID 11931 BCBS
Minnesota Other 021269 BCBS
Minnesota Other 430010862 BCBS
Minnesota MEDICAID 661345400 BCBS

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