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
Fax: (225) 765-8283
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578563177 NPPES
Louisiana Other 110043365 RAILROAD MEDICARE
Louisiana MEDICAID 1327891 RAILROAD MEDICARE

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