Blazier, John Kent

Blazier, John Kent is an individual health care provider with primary practice located at 2033 Meadowview Ln Ste 200, Kingsport TN 37660-7569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Blazier, John Kent can be contacted via phone (423) 857-2260.

Contact Information

Primary practice address
2033 Meadowview Ln Ste 200 Kingsport TN 37660-7569
Fax: (423) 857-2261
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD 04674 Tennessee

Profile Details

NPI number 1770586406
LBN Legal business name Blazier, John Kent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2005
Last updated Sep 16th, 2009 - about 15 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 1770586406 NPPES
Virginia MEDICAID 006701876
Virginia MEDICAID 3150007
Virginia MEDICAID 6701876

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