Active NPIIndividual providerSole proprietor

Shawn Bazemore

Counselor in Waterbury, Connecticut

NPI Number1790049583
Practice location
141 E Main St, Waterbury, CT 06702-2310
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
Zip
06702-2310
Phone Number
203-575-0641
Waterbury, CT 06702Get directions →

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

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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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.

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