IndividualActive
Brandon Bazeluk
NPI 1023739315 · Independent Duty Corpsman · Havelock, NC
Provider details
- NPI number
- 1023739315
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
210 Kyle Dr
Havelock, NC 28532-1773
Phone: (630) 297-6750
Approximate (ZIP-level) locationGet directions
Mailing address
34101 Farenholt Ave
San Diego, CA 92134-7000
Registry dates
- Enumerated
- 2022-09-06
- Last updated
- 2023-03-10
- Certified
- 2023-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.