Bazzoui, Widad E
Bazzoui, Widad E is an individual health care provider with primary practice located at 110 Campus Dr , Bradford PA 16701-1982. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bazzoui, Widad E can be contacted via phone (814) 362-6535.Contact Information
Primary practice address
110 Campus Dr
Bradford PA 16701-1982
Phone: (814) 362-6535
Fax: (814) 362-7358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD034596L | Pennsylvania |
Profile Details
| NPI number | 1851495337 |
|---|---|
| LBN Legal business name | Bazzoui, Widad E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1851495337 | NPPES |
| Pennsylvania | MEDICAID | 000547864 |
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