Organization
ABC HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM R. BAZIN D.C. (CHIROPRACTOR)
(413) 525-2932
Entity
Organization
Contact information
Practice address
200 N MAIN ST STE 10, EAST LONGMEADOW, MA 01028-2353
(413) 525-2932
(413) 525-6839
Mailing address
200 N MAIN ST STE 10, EAST LONGMEADOW, MA 01028-2353
(413) 525-2932
(413) 525-6839
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MA1052
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA1052
LICENSE
MA
01
—
Y35719
BCBS PROVIDER #
MA
01
—
Y39840
BCBS GROUP#
MA
Enumeration date
05/21/2007
Last updated
03/27/2009
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