Blattner, Mary A
Blattner, Mary A is an individual health care provider with primary practice located at 5881 W 16Th St , Greeley CO 80634-2910. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Blattner, Mary A can be contacted via phone (970) 313-2734.Contact Information
Primary practice address
5881 W 16Th St
Greeley CO 80634-2910
Phone: (970) 313-2734
Fax: (970) 313-2733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 22983 | Colorado |
Profile Details
| NPI number | 1205813193 |
|---|---|
| LBN Legal business name | Blattner, Mary A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Jul 1st, 2013 - about 11 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 | 1205813193 | NPPES |
| Colorado | MEDICAID | 01229830 | |
| Colorado | Other | P00944855 |
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