Blaine, James A

Blaine, James A is an individual health care provider with primary practice located at 104 Technology Dr Suite 103, Butler PA 16001-1801. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Blaine, James A can be contacted via phone (724) 482-4192.

Contact Information

Primary practice address
104 Technology Dr Suite 103 Butler PA 16001-1801
Fax: (724) 482-4859
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X SC001648L Pennsylvania

Profile Details

NPI number 1538155494
LBN Legal business name Blaine, James A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Sep 9th, 2011 - about 13 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 1538155494 NPPES
Pennsylvania Other 1538155494 NPI
Pennsylvania MEDICAID 001468255 NPI

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