Blair, Samara

Blair, Samara is an individual health care provider with primary practice located at 12251 S 80Th Ave , Palos Heights IL 60463-1290. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Blair, Samara can be contacted via phone (708) 923-4000.

Contact Information

Primary practice address
12251 S 80Th Ave Palos Heights IL 60463-1290
Phone: (708) 923-4000
Fax: (708) 923-8848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209017339 Illinois

Profile Details

NPI number 1467808956
LBN Legal business name Blair, Samara
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2016
Last updated Oct 26th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467808956 NPPES
Texas MEDICAID 358136501

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