Shahbazi, David C
Shahbazi, David C is an individual health care provider with primary practice located at 1414 W Fair Ave Ste 36, Marquette MI 49855-2675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shahbazi, David C can be contacted via phone (906) 225-3864.Contact Information
Primary practice address
1414 W Fair Ave Ste 36
Marquette MI 49855-2675
Phone: (906) 225-3864
Fax: (906) 225-3851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301053462 | Michigan |
Profile Details
| NPI number | 1558352393 |
|---|---|
| LBN Legal business name | Shahbazi, David C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2005 |
| Last updated | Jun 6th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558352393 | NPPES |
| Michigan | MEDICAID | 2853464 | |
| Michigan | Other | 080036038 |
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