Blaize, Leo Paul
Blaize, Leo Paul is an individual health care provider with primary practice located at 7777 Hennessy Blvd Suite 7000, Baton Rouge LA 70808-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Blaize, Leo Paul can be contacted via phone (225) 765-8829.Contact Information
Primary practice address
7777 Hennessy Blvd Suite 7000
Baton Rouge LA 70808-4300
Phone: (225) 765-8829
Fax: (225) 765-8283
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 015394 | Louisiana |
Profile Details
NPI number | 1578563177 |
---|---|
LBN Legal business name | Blaize, Leo Paul |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2005 |
Last updated | Jan 14th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578563177 | NPPES |
Louisiana | Other | 110043365 | RAILROAD MEDICARE |
Louisiana | MEDICAID | 1327891 | RAILROAD MEDICARE |
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