Bazakas, Greg

Bazakas, Greg is an individual health care provider with primary practice located at 67 Eustis Pkwy , Waterville ME 04901-5173. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bazakas, Greg can be contacted via phone (207) 873-2136.

Contact Information

Primary practice address
67 Eustis Pkwy Waterville ME 04901-5173
Phone: (207) 873-2136
Fax: (207) 872-4522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X MC11110 Maine

Profile Details

NPI number 1932306560
LBN Legal business name Bazakas, Greg
Credentials LMSW-CC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Jul 8th, 2007 - about 19 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 1932306560 NPPES
Maine MEDICAID 432606799

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