Blair, Mark M

Blair, Mark M is an individual health care provider with primary practice located at 2000 Pepperell Pkwy , Opelika AL 36801-5452. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Blair, Mark M can be contacted via phone (334) 528-2499.

Contact Information

Primary practice address
2000 Pepperell Pkwy Opelika AL 36801-5452
Phone: (334) 528-2499
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209001203 Tennessee
Nursing Service Providers / Registered Nurse 163W00000X 041217895 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1-094483 Alabama

Profile Details

NPI number 1639116254
LBN Legal business name Blair, Mark M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated May 2nd, 2018 - about 7 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 1639116254 NPPES
Alabama Other 039441 CRNA RECERTIFICATION
Alabama Other 209001203 CRNA RECERTIFICATION
Alabama Other 1-094483 CRNA RECERTIFICATION

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