Blodgett, Stephanie Dawn
Blodgett, Stephanie Dawn is an individual health care provider with primary practice located at 23962 Alicia Pkwy Ste I-1 , Mission Viejo CA 92691-3940. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Blodgett, Stephanie Dawn can be contacted via phone (949) 452-7699.Contact Information
Primary practice address
23962 Alicia Pkwy Ste I-1
Mission Viejo CA 92691-3940
Phone: (949) 452-7699
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA19213 | California |
Profile Details
| NPI number | 1720287170 |
|---|---|
| LBN Legal business name | Blodgett, Stephanie Dawn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2007 |
| Last updated | Nov 30th, 2021 - 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.
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