Blaze, Alex

Blaze, Alex is an sole proprietor health care provider with primary practice located at 16515 Meridian E Ste 101 , Puyallup WA 98375-6251. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Blaze, Alex can be contacted via phone (253) 466-3178.

Contact Information

Primary practice address
16515 Meridian E Ste 101 Puyallup WA 98375-6251
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA60630103 Washington

Profile Details

NPI number 1316394489
LBN Legal business name Blaze, Alex
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2016
Last updated Jul 11th, 2024 - about last year

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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