Blazzard, Jacob I.

Blazzard, Jacob I. is an individual health care provider with primary practice located at 1433 5Th St , Clarkston WA 99403-2714. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Blazzard, Jacob I. can be contacted via phone (509) 758-5141.

Contact Information

Primary practice address
1433 5Th St Clarkston WA 99403-2714
Phone: (509) 758-5141
Fax: (509) 758-5299
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1221 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 361 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60099484 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60099484 Washington

Profile Details

NPI number 1326125485
LBN Legal business name Blazzard, Jacob I.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Apr 1st, 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.

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