Bazing, Iris D

Bazing, Iris D is an individual health care provider with primary practice located at 24 N Walnut St Suite 102, Hagerstown MD 21740-4738. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bazing, Iris D can be contacted via phone (301) 745-3777.

Contact Information

Primary practice address
24 N Walnut St Suite 102 Hagerstown MD 21740-4738
Phone: (301) 745-3777
Fax: (301) 393-3434
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D51224 Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D51224 Maryland
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X D51224 Maryland

Profile Details

NPI number 1982756730
LBN Legal business name Bazing, Iris D
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Mar 12th, 2014 - about 12 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 1982756730 NPPES
Maryland MEDICAID 796472200

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