Bazzone, Victor T

Bazzone, Victor T is an individual health care provider with primary practice located at 15190 Community Rd Suite 300, Gulfport MS 39503-3485. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bazzone, Victor T can be contacted via phone (228) 831-2229.

Contact Information

Primary practice address
15190 Community Rd Suite 300 Gulfport MS 39503-3485
Phone: (228) 831-2229
Fax: (228) 539-8313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 07091 Mississippi

Profile Details

NPI number 1972604650
LBN Legal business name Bazzone, Victor T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Aug 17th, 2018 - about 8 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 1972604650 NPPES
Mississippi Other P00304930 RAILROAD MEDICARE
Mississippi MEDICAID 078783859 RAILROAD MEDICARE

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