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Contact Information

MICHELLE M BAZAL, LAC
200 HIGHWAY 2 W
DEVILS LAKE, ND58301-3532
 Phone: 701-665-2200
 Fax: 701-665-2300
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for MICHELLE M BAZAL · (Female)

NPI Number 1548728629
Status Active
Credentials LAC
Entity Individual
Enumeration date 03/07/2019
Last updated 12/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ND License # 1848
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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