Blakley, Karen Hejtmancik
Blakley, Karen Hejtmancik is an sole proprietor health care provider with primary practice located at 2559 Western Trails Blvd Suite 200, Austin TX 78745-1554. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Blakley, Karen Hejtmancik can be contacted via phone (512) 420-9900.Contact Information
Primary practice address
2559 Western Trails Blvd Suite 200
Austin TX 78745-1554
Phone: (512) 420-9900
Fax: (512) 420-9043
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | 746798 | Texas |
Profile Details
NPI number | 1619201134 |
---|---|
LBN Legal business name | Blakley, Karen Hejtmancik |
Credentials | ACNS-BC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 30th, 2009 |
Last updated | Dec 2nd, 2016 - about 9 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 | 1619201134 | NPPES |
Texas | MEDICAID | 2095259-01 |
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