Bazarte, Joseph M
Bazarte, Joseph M is an sole proprietor health care provider with primary practice located at 1611 Lisenby Ave , Panama City FL 32405-3711. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bazarte, Joseph M can be contacted via phone (850) 913-0000.Contact Information
Primary practice address
1611 Lisenby Ave
Panama City FL 32405-3711
Phone: (850) 913-0000
Fax: (850) 785-1988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC001596 | Florida |
Profile Details
| NPI number | 1639229271 |
|---|---|
| LBN Legal business name | Bazarte, Joseph M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Apr 9th, 2008 - 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 | 1639229271 | NPPES |
| Florida | MEDICAID | 620189000 |
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