Blaszak, Richard Thomas
Blaszak, Richard Thomas is an individual health care provider with primary practice located at 1 Childrens Way # 512 , Little Rock AR 72202-3500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Blaszak, Richard Thomas can be contacted via phone (501) 364-1847.Contact Information
Primary practice address
1 Childrens Way # 512
Little Rock AR 72202-3500
Phone: (501) 364-1847
Fax: (501) 364-1870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | E-2089 | Arkansas |
Profile Details
| NPI number | 1114017779 |
|---|---|
| LBN Legal business name | Blaszak, Richard Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Mar 16th, 2016 - about 8 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 | 1114017779 | NPPES |
| Arkansas | MEDICAID | 136438001 |
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