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
Fax: (512) 420-9043
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619201134 NPPES
Texas MEDICAID 2095259-01

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