Bazylak, Robert A.

Bazylak, Robert A. is an individual health care provider with primary practice located at 1034 Grove St , Meadville PA 16335-2945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bazylak, Robert A. can be contacted via phone (814) 373-4233.

Contact Information

Primary practice address
1034 Grove St Meadville PA 16335-2945
Phone: (814) 373-4233
Fax: (814) 724-2196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD014601E Pennsylvania

Profile Details

NPI number 1285614263
LBN Legal business name Bazylak, Robert A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jan 27th, 2017 - about 9 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 1285614263 NPPES
Pennsylvania Other 4235190002 NATIONAL SUPPLIERS CLEARINGHOUSE
Pennsylvania Other 68787 NATIONAL SUPPLIERS CLEARINGHOUSE
Pennsylvania Other 205132 NATIONAL SUPPLIERS CLEARINGHOUSE
Pennsylvania MEDICAID 0006738050001 NATIONAL SUPPLIERS CLEARINGHOUSE
Pennsylvania Other P00303284 NATIONAL SUPPLIERS CLEARINGHOUSE
Pennsylvania Other 251754199019 NATIONAL SUPPLIERS CLEARINGHOUSE
Pennsylvania Other B40196 NATIONAL SUPPLIERS CLEARINGHOUSE
Pennsylvania Other 157308 NATIONAL SUPPLIERS CLEARINGHOUSE

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