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Douglas Bazemore
Contractor in Churchville, Maryland
NPI 1972029007

Douglas Bazemore is a Contractor based in Churchville, MD. Douglas Bazemore practices in Churchville, MD. The NPI Number for Douglas Bazemore is 1972029007 and holds a License No. (Maryland).

The current practice location address for Douglas Bazemore is 3014 Cool Branch Road, Churchville, MD and can be reached out via phone at 443-617-7277.

Location: 3014 Cool Branch Road, Churchville, MD, 21028-1002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972029007
Provider Name
Douglas Bazemore
Credential
Provider Entity Type
Individual
Gender
Male
Address
3014 Cool Branch Road, Churchville, MD, 21028-1002
Phone Number
443-617-7277
Fax Number
Provider Enumeration Date
08/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3014 Cool Branch Road
City
Churchville
State
Maryland
Zip
21028
Phone Number
443-617-7277
Fax Number
person
Provider Business Mailing Address Details
Address
3014 Cool Branch Road
City
Churchville
State
Maryland
Zip
21028
Phone Number
443-617-7277
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
()
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
person
Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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