Blackmur, Jay R

Blackmur, Jay R is an individual health care provider with primary practice located at 29000 Center Ridge Rd , Westlake OH 44145-5293. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Blackmur, Jay R can be contacted via phone (440) 827-5000.

Contact Information

Primary practice address
29000 Center Ridge Rd Westlake OH 44145-5293
Phone: (440) 827-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 67-000061 Ohio

Profile Details

NPI number 1104819028
LBN Legal business name Blackmur, Jay R
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104819028 NPPES
Ohio MEDICAID 2292808
Ohio Other 000000334354

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