Blass, Marcus

Blass, Marcus is an individual health care provider with primary practice located at 551 Linn St , Allegan MI 49010-1595. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Blass, Marcus can be contacted via phone (269) 686-5850.

Contact Information

Primary practice address
551 Linn St Allegan MI 49010-1595
Fax: (269) 686-5897
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036710 Michigan

Profile Details

NPI number 1558342725
LBN Legal business name Blass, Marcus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Nov 16th, 2007 - about 18 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 1558342725 NPPES
Michigan Other 17-30505 PHP PROVIDER #
Michigan Other 1833840 PHP PROVIDER #
Michigan Other 21926 PHP PROVIDER #
Michigan Other MB036710 PHP PROVIDER #
Michigan Other 0200302138 PHP PROVIDER #
Michigan Other 2309 PHP PROVIDER #
Michigan Other P52808 PHP PROVIDER #
Michigan MEDICAID 2632169 PHP PROVIDER #

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