Shawn Bazemore
Counselor in Waterbury, Connecticut
1790049583- Practice location
- 141 E Main St, Waterbury, CT 06702-2310
- Phone
- 203-575-0641
- Fax
- —
- Last updated
- June 27, 2012
Shawn Bazemore is a Counselor based in Waterbury, CT. Shawn Bazemore practices in Waterbury, CT. The NPI Number for Shawn Bazemore is 1790049583. The current practice location address for Shawn Bazemore is 141 E Main St, Waterbury, CT 06702-2310 and can be reached out via phone at 203-575-0641.
Provider Profile Details
- NPI Number
- 1790049583
- Provider Name
- Shawn Bazemore
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 141 E Main St, Waterbury, CT 06702-2310
- Phone Number
- 203-575-0641
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 27, 2012
- Last Update Date
- June 27, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 141 E Main St
Waterbury, CT 06702-2310 - City
- Waterbury
- State
- Connecticut
- Zip
- 06702-2310
- Phone Number
- 203-575-0641
Provider Business Mailing Address Details
- Address
- 141 E Main St
Waterbury, CT 06702-2310 - City
- Waterbury
- State
- CT
- Zip
- 06702-2310
- Phone Number
- 203-575-0641
License Information
- Taxonomy
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselors near Waterbury, CT
View all Counselors in Waterbury →Frequently Asked Questions
What is the NPI number of Shawn Bazemore?
The NPI number of Shawn Bazemore is 1790049583. It was assigned on June 27, 2012 and is currently active in the NPPES registry.
What is the specialty of Shawn Bazemore?
Shawn Bazemore is registered under the primary taxonomy Counselor (code 101Y00000X).
Where does Shawn Bazemore practice?
The practice location is 141 E Main St, Waterbury, CT 06702-2310. The office can be reached at 203-575-0641 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790049583 directly on the NPPES registry website.