Bazemore, Douglas

Bazemore, Douglas is an sole proprietor health care provider with primary practice located at 3014 Cool Branch Road , Churchville MD 21028. He recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Point of Service, Other Service Providers / Contractor. Other Service Providers / Contractor is his primary health care specialty. Bazemore, Douglas can be contacted via phone (443) 617-7277.

Contact Information

Primary practice address
3014 Cool Branch Road Churchville MD 21028
Phone: (443) 617-7277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1972029007
LBN Legal business name Bazemore, Douglas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2017
Last updated Jul 21st, 2022 - 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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