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Individual
DR. SHAUN MICHAEL BEZAK
Active
Individual
DR. SHAUN MICHAEL BEZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S02141
MD
225100000X
Physical Therapist
SO2141
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039615
ASHN/CIGNA
MD
01
—
2096855
FIRST HEALTH/MAILHANDLERS
MD
01
—
2120465
MAMSI/MDIPA/OPT./ALLIANCE
MD
01
—
2319509
UNITED HEALTHCARE
MD
01
—
3137927
AETNA PROVIDER HMO
MD
01
—
61837201
BLUE CROSS BLUE SHIELD MD
MD
01
—
652647
ACN
MD
01
—
7879466
AETNA/PROVIDER NON HMO
MD
01
—
G7520001
BLUE CROSS BLUE SHIELD DC
MD
Enumeration date
09/29/2006
Last updated
09/09/2020
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