Blaisdell, Carol
Blaisdell, Carol is an individual health care provider with primary practice located at 160 E Erie Ave , Philadelphia PA 19134-1011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as her primary health care specialty. Blaisdell, Carol can be contacted via phone (215) 427-5085.Contact Information
Primary practice address
160 E Erie Ave
Philadelphia PA 19134-1011
Phone: (215) 427-5085
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | D4210 | Maryland |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | MD482909 | Pennsylvania |
Profile Details
| NPI number | 1760437545 |
|---|---|
| LBN Legal business name | Blaisdell, Carol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Nov 6th, 2023 - about last year |
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 | 1760437545 | NPPES |
| Maryland | MEDICAID | 302691400 |
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