Bleazard, Scott L.

Bleazard, Scott L. is an individual health care provider with primary practice located at 914 Pine St , Mt Shasta CA 96067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bleazard, Scott L. can be contacted via phone (530) 926-9329.

Contact Information

Primary practice address
914 Pine St Mt Shasta CA 96067
Phone: (530) 926-9329
Fax: (855) 251-4626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD22503 Oregon
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C55792 California

Profile Details

NPI number 1679695761
LBN Legal business name Bleazard, Scott L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Mar 30th, 2017 - 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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