Maze, Brent Michael

Maze, Brent Michael is an individual health care provider with primary practice located at 3884 Monitor Road , Bay City MI 48706-9298. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Maze, Brent Michael can be contacted via phone (989) 671-2000.

Contact Information

Primary practice address
3884 Monitor Road Bay City MI 48706-9298
Phone: (989) 671-2000
Fax: (989) 671-4000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004410 Michigan

Profile Details

NPI number 1366424665
LBN Legal business name Maze, Brent Michael
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Apr 9th, 2021 - about 3 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 1366424665 NPPES
Other 147434 GREAT LAKES HEALTH PLAN
Other 080G310660 GREAT LAKES HEALTH PLAN
Other 1012083 GREAT LAKES HEALTH PLAN
Other 292 GREAT LAKES HEALTH PLAN

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