Individual
DR. WILLIAM R BAZIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
200 N MAIN ST, SUITE 10, EAST LONGMEADOW, MA 01028-2392
(413) 525-2932
(413) 525-6839
Mailing address
200 N MAIN ST, SUITE 10, EAST LONGMEADOW, MA 01028-2392
(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
Enumeration date
12/13/2006
Last updated
09/09/2021
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