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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235417817 | NPPES |
| Texas | Other | Q6735 | LICENSE |
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