Individual
DR. DOUGLAS JAMES BAZYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
312 S 9TH AVE, BROKEN BOW, NE 68822-2014
(308) 872-3106
(308) 872-3106
Mailing address
312 S 9TH AVE, BROKEN BOW, NE 68822-2014
(308) 872-3106
(308) 872-3106
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
950
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9645
BCBS
NE
Enumeration date
04/06/2007
Last updated
11/15/2012
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