Blair, John M

Blair, John M is an individual health care provider with primary practice located at 1724 W Union Ave , Tacoma WA 98405-2099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Blair, John M can be contacted via phone (253) 572-2663.

Contact Information

Primary practice address
1724 W Union Ave Tacoma WA 98405-2099
Fax: (253) 752-1160
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X MD0003453 Washington

Profile Details

NPI number 1700985611
LBN Legal business name Blair, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jan 25th, 2012 - about 12 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 1700985611 NPPES
Washington MEDICAID 1105964

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