Blaskiewicz, Donald John
Blaskiewicz, Donald John is an individual health care provider with primary practice located at 190 E Bannock St Fl 10 , Boise ID 83712-6241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Blaskiewicz, Donald John can be contacted via phone (208) 381-5500.Contact Information
Primary practice address
190 E Bannock St Fl 10
Boise ID 83712-6241
Phone: (208) 381-5500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | A109748 | California |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | M-14514 | Idaho |
Profile Details
| NPI number | 1215176839 |
|---|---|
| LBN Legal business name | Blaskiewicz, Donald John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2009 |
| Last updated | Jan 11th, 2022 - about 3 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 | 1215176839 | NPPES |
| California | MEDICAID | 0A1097480 |
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