Blazek, Kathleen K

Blazek, Kathleen K is an individual health care provider with primary practice located at 100 Michigan St Ne , Grand Rapids MI 49503-2560. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Blazek, Kathleen K can be contacted via phone (616) 391-1680.

Contact Information

Primary practice address
100 Michigan St Ne Grand Rapids MI 49503-2560
Phone: (616) 391-1680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301081742 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301081742 Michigan

Profile Details

NPI number 1083672729
LBN Legal business name Blazek, Kathleen K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 23rd, 2020 - about 4 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 1083672729 NPPES
Michigan Other P00398769 RAILROAD MEDICARE

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