Blazier, Kenneth Louis

Blazier, Kenneth Louis is an individual health care provider with primary practice located at 64 Robbins St , Waterbury CT 06708-2613. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Blazier, Kenneth Louis can be contacted via phone (203) 573-6000.

Contact Information

Primary practice address
64 Robbins St Waterbury CT 06708-2613
Phone: (203) 573-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 013144 Maine
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 013144 Maine

Profile Details

NPI number 1487674198
LBN Legal business name Blazier, Kenneth Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Feb 18th, 2019 - about 5 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 1487674198 NPPES
Maine MEDICAID 301770099

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