Dr Miya Bazley, DC | |
650 Pennsylvania Ave Se, Washington, DC 20003-4318 | |
(202) 525-6708 | |
Not Available |
Full Name | Dr Miya Bazley |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 650 Pennsylvania Ave Se, Washington, District Of Columbia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629298294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 03484 (Maryland) | Secondary |
111N00000X | Chiropractor | DC030058 (District Of Columbia) | Primary |
Provider Name | Mcb Chiropractic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699164012 PECOS PAC ID: 6204243389 Enrollment ID: O20210408000845 |
Mailing Address | Practice Location Address |
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Dr Miya Bazley, DC 650 Pennsylvania Ave Se, Washington, DC 20003-4318 Ph: (202) 525-6708 | Dr Miya Bazley, DC 650 Pennsylvania Ave Se, Washington, DC 20003-4318 Ph: (202) 525-6708 |
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