Blazer, David J

Blazer, David J is an individual health care provider with primary practice located at 113 Highway 70 E , Dickson TN 37055-2080. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Blazer, David J can be contacted via phone (615) 441-4450.

Contact Information

Primary practice address
113 Highway 70 E Dickson TN 37055-2080
Phone: (615) 441-4450
Fax: (615) 446-1357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD26023 Tennessee
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD26023 Tennessee

Profile Details

NPI number 1093718272
LBN Legal business name Blazer, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Aug 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093718272 NPPES
Tennessee MEDICAID 3086151
Tennessee Other 3158418
Tennessee Other 060061304

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