Blaha, Dennis Roger

Blaha, Dennis Roger is an sole proprietor health care provider with primary practice located at 7600 N 16Th St Suite 150, Phoenix AZ 85020-4431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Blaha, Dennis Roger can be contacted via phone (602) 395-0718.

Contact Information

Primary practice address
7600 N 16Th St Suite 150 Phoenix AZ 85020-4431
Phone: (602) 395-0718
Fax: (602) 277-8146
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 13790 Arizona

Profile Details

NPI number 1033175989
LBN Legal business name Blaha, Dennis Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2006
Last updated Aug 16th, 2010 - about 15 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 1033175989 NPPES
Arizona Other AZ0050540 BX BS OF AZ
Arizona MEDICAID 046608 BX BS OF AZ

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