Baxter, Blaise W
Baxter, Blaise W is an individual health care provider with primary practice located at 1100 Van Ness Ave , San Francisco CA 94109-6978. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Baxter, Blaise W can be contacted via phone (415) 600-7887.Contact Information
Primary practice address
1100 Van Ness Ave
San Francisco CA 94109-6978
Phone: (415) 600-7887
Fax: (415) 369-1395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 31416 | Tennessee |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | C171504 | California |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD19382 | Rhode Island |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD468416 | Pennsylvania |
Profile Details
| NPI number | 1487681342 |
|---|---|
| LBN Legal business name | Baxter, Blaise W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jul 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487681342 | NPPES |
| California | Other | C171504 | STATE MEDICAL LICENSE |
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