Individual provider · Type 1 NPI

Douglas Bazemore

Contractor · Churchville, MD

NPI number 1972029007 Active

Practice location

3014 Cool Branch Road
Churchville, MD 21028

Mailing address

3014 Cool Branch Rd
Churchville, MD 21028-1002

Specialties and licenses

TaxonomyCodeLicense
Point of Service 305S00000XNone listed
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

About NPI 1972029007

Douglas Bazemore's National Provider Identifier is 1972029007, issued on Aug 21, 2017. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Churchville, MD. The record was last updated on Jul 21, 2022.