Souad Bazzi
Individual provider Active NPI Other Technician · Sault Sainte Marie, MI
NPI 1699178012 · NPPES record last updated Jun 21, 2016
Key facts
- NPI
- 1699178012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 300 W Pier Dr
Apt. 216a
Sault Sainte Marie, MI 49783-1870 - Phone
- (313) 919-0347
- NPI assigned
- Sep 30, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
300 W Pier Dr
Apt. 216a
Sault Sainte Marie, MI 49783-1870
Mailing address
300 W Pier Dr
Apt. 216a
Sault Sainte Marie, MI 49783-1870
Phone (313) 919-0347
Other providers in Sault Sainte Marie, MI
- Lillian Amanda Barras
- Scott Michael Bartz
- James Baxter
- Bay Mills Indian Community
- Bay Mills Indian Community
- Joe Beccario
- Emily Elizabeth Beck
- Gail Becker
- Robert John Beckman
- Carla A Behling
All providers in Sault Sainte Marie, MI · Other Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2016. 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.