Jacques Hans Bazin
Individual provider Active NPI Homemaker · Montgomery, OH
NPI 1386444362 · NPPES record last updated Mar 18, 2025
Key facts
- NPI
- 1386444362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 7888 Mitchell Farm LN
Montgomery, OH 45242-6410 - Phone
- (813) 909-5508
- NPI assigned
- Mar 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
7888 Mitchell Farm LN
Montgomery, OH 45242-6410
Mailing address
7888 Mitchell Farm LN
Montgomery, OH 45242-6410
Phone (813) 909-5508
Other providers in Montgomery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.