Blase, Walter R

Blase, Walter R is an individual health care provider with primary practice located at 101 Marietta St Nw Suite 1900, Atlanta GA 30303-2720. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Blase, Walter R can be contacted via phone (404) 878-3513.

Contact Information

Primary practice address
101 Marietta St Nw Suite 1900 Atlanta GA 30303-2720
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X AT000742 Georgia

Profile Details

NPI number 1376516617
LBN Legal business name Blase, Walter R
Credentials M.S., A.T.C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers