Bezzant, Shane M

Bezzant, Shane M is an individual health care provider with primary practice located at 350 W Thomas Rd , Phoenix AZ 85013-4409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bezzant, Shane M can be contacted via phone (602) 406-3874.

Contact Information

Primary practice address
350 W Thomas Rd Phoenix AZ 85013-4409
Phone: (602) 406-3874
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01058636A Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 50862 Arizona

Profile Details

NPI number 1033190202
LBN Legal business name Bezzant, Shane M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 5th, 2020 - about 4 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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