Blair, Mark A
Blair, Mark A is an sole proprietor health care provider with primary practice located at 12251 N 32Nd St , Phoenix AZ 85032-7189. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Blair, Mark A can be contacted via phone (602) 971-0950.Contact Information
Primary practice address
12251 N 32Nd St
Phoenix AZ 85032-7189
Phone: (602) 971-0950
Fax: (602) 992-4971
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 32353 | Arizona |
Profile Details
NPI number | 1649226705 |
---|---|
LBN Legal business name | Blair, Mark A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 26th, 2006 |
Last updated | May 12th, 2022 - about 3 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 | 1649226705 | NPPES |
Arizona | Other | P00191312 | RAIL ROAD MEDICARE |
Arizona | Other | 32353 | RAIL ROAD MEDICARE |
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