Bazan, Jose A

Bazan, Jose A is an individual health care provider with primary practice located at 410 W 10Th Ave , Columbus OH 43210-1240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bazan, Jose A can be contacted via phone (614) 293-5666.

Contact Information

Primary practice address
410 W 10Th Ave Columbus OH 43210-1240
Fax: (614) 293-4556
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 34009003 Ohio

Profile Details

NPI number 1326168832
LBN Legal business name Bazan, Jose A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Apr 20th, 2012 - about 14 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 1326168832 NPPES
Ohio MEDICAID 2954423

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