Bazzano, Stephen J
Bazzano, Stephen J is an sole proprietor health care provider with primary practice located at 111 E 7Th St , Galena KS 66739-1229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bazzano, Stephen J can be contacted via phone (620) 783-1358.Contact Information
Primary practice address
111 E 7Th St
Galena KS 66739-1229
Phone: (620) 783-1358
Fax: (620) 783-5055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 32305 | Missouri |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 14599 | Kansas |
Profile Details
| NPI number | 1063423150 |
|---|---|
| LBN Legal business name | Bazzano, Stephen J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Aug 16th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063423150 | NPPES |
| Kansas | MEDICAID | 100098210A | |
| Kansas | MEDICAID | 240387613 | |
| Kansas | Other | 080075003 |
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