Blea, Michael James

Blea, Michael James is an sole proprietor health care provider with primary practice located at 6701 Jefferson St Ne , Albuquerque NM 87109-4318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Blea, Michael James can be contacted via phone (505) 727-6200.

Contact Information

Primary practice address
6701 Jefferson St Ne Albuquerque NM 87109-4318
Fax: (505) 727-6200
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 251879 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X MD2019-1075 New Mexico

Profile Details

NPI number 1245591643
LBN Legal business name Blea, Michael James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2012
Last updated Dec 28th, 2020 - 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 1245591643 NPPES
New Mexico MEDICAID 5408721

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