Blair, Heidi J

Blair, Heidi J is an individual health care provider with primary practice located at 211 Temple Ave , Colonial Heights VA 23834-2827. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Blair, Heidi J can be contacted via phone (804) 526-0107.

Contact Information

Primary practice address
211 Temple Ave Colonial Heights VA 23834-2827
Phone: (804) 526-0107
Fax: (804) 526-4466
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110002040 Virginia

Profile Details

NPI number 1144472705
LBN Legal business name Blair, Heidi J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2008
Last updated Apr 2nd, 2019 - about 6 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 1144472705 NPPES
Virginia MEDICAID 1144472705

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