Blaesing, Mary
Blaesing, Mary is an individual health care provider with primary practice located at 1688 Lawrenceville Hwy , Lawrenceville GA 30044-4608. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Blaesing, Mary can be contacted via phone (770) 995-2379.Contact Information
Primary practice address
1688 Lawrenceville Hwy
Lawrenceville GA 30044-4608
Phone: (770) 995-2379
Fax: (770) 995-2385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OT002459 | Georgia |
Profile Details
| NPI number | 1447327564 |
|---|---|
| LBN Legal business name | Blaesing, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447327564 | NPPES |
| Georgia | MEDICAID | 10037741 | |
| Georgia | MEDICAID | 306071 |
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