Bazley, John A

Bazley, John A is an individual health care provider with primary practice located at 515 22Nd Ave , Monroe WI 53566-1569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bazley, John A can be contacted via phone (608) 324-2000.

Contact Information

Primary practice address
515 22Nd Ave Monroe WI 53566-1569
Phone: (608) 324-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 43785 Wisconsin

Profile Details

NPI number 1770503625
LBN Legal business name Bazley, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Dec 28th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770503625 NPPES
Other 15300226 MEDICARE PART B
Other DEAN HEALTH PLAN MEDICARE PART B
Other P00034839 MEDICARE PART B
Other 34157700 MEDICARE PART B
MEDICAID 34157700 MEDICARE PART B
Other 390808509CT MEDICARE PART B
Other 690004890 MEDICARE PART B
Other 390808509 MEDICARE PART B
Other 1042503 MEDICARE PART B

Popular Providers