Blawie, Cecelia R

Blawie, Cecelia R is an individual health care provider with primary practice located at 1800 N California St , Stockton CA 95204-6019. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Blawie, Cecelia R can be contacted via phone (330) 493-4443.

Contact Information

Primary practice address
1800 N California St Stockton CA 95204-6019
Fax: (330) 493-8677
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G70136 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G70136 California

Profile Details

NPI number 1245261742
LBN Legal business name Blawie, Cecelia R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Oct 13th, 2010 - about 14 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 1245261742 NPPES
California MEDICAID 00G701360

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