Blasick, Jeffrey S

Blasick, Jeffrey S is an sole proprietor health care provider with primary practice located at 5100 Franklin Ave Ste C , Waco TX 76710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Blasick, Jeffrey S can be contacted via phone (254) 754-0375.

Contact Information

Primary practice address
5100 Franklin Ave Ste C Waco TX 76710
Phone: (254) 754-0375
Fax: (254) 754-2667
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X Q6735 Texas

Profile Details

NPI number 1235417817
LBN Legal business name Blasick, Jeffrey S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2011
Last updated Oct 11th, 2018 - about 6 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 1235417817 NPPES
Texas Other Q6735 LICENSE

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