Bazley, John A
Bazley, John A is an individual health care provider with primary practice located at 1600 Lakeland Hills Blvd , Lakeland FL 33805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bazley, John A can be contacted via phone (863) 680-7000.Contact Information
Primary practice address
1600 Lakeland Hills Blvd
Lakeland FL 33805
Phone: (863) 680-7000
Fax: (866) 264-8519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME15649 | Florida |
Profile Details
| NPI number | 1063483105 |
|---|---|
| LBN Legal business name | Bazley, John A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jun 8th, 2012 - about 12 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 | 1063483105 | NPPES |
| Florida | MEDICAID | 037312500 |
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