Bleza, David Arnold
Bleza, David Arnold is an sole proprietor health care provider with primary practice located at 9150 E 109Th Ave , Crown Point IN 46307-7687. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bleza, David Arnold can be contacted via phone (219) 779-9721.Contact Information
Primary practice address
9150 E 109Th Ave
Crown Point IN 46307-7687
Phone: (219) 779-9721
Fax: (219) 779-9726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01052161A | Indiana |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01052161A | Indiana |
Profile Details
| NPI number | 1699872705 |
|---|---|
| LBN Legal business name | Bleza, David Arnold |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | May 22nd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699872705 | NPPES |
| Indiana | MEDICAID | 200348360 | |
| Indiana | Other | P00981187 |
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