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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 9 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 1114017779 NPPES
Arkansas MEDICAID 136438001

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