Blazek, Brady N

Blazek, Brady N is an individual health care provider with primary practice located at 17893 224Th St , Manchester IA 52057-8629. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Blazek, Brady N can be contacted via phone (563) 920-0200.

Contact Information

Primary practice address
17893 224Th St Manchester IA 52057-8629
Phone: (563) 920-0200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 116604 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X D116604 Iowa

Profile Details

NPI number 1780924118
LBN Legal business name Blazek, Brady N
Credentials CRNA, DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2013
Last updated Jul 10th, 2015 - 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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