Blazek, Samantha

Blazek, Samantha is an sole proprietor health care provider with primary practice located at Po Box 141 , Malta IL 60150-0141. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Blazek, Samantha can be contacted via phone (815) 501-2900.

Contact Information

Primary practice address
Po Box 141 Malta IL 60150-0141
Phone: (815) 501-2900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096005691 Illinois

Profile Details

NPI number 1306699608
LBN Legal business name Blazek, Samantha
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2024
Last updated Apr 8th, 2024 - about 8 months 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.

Request for update

Popular Providers