Blue, India M.

Blue, India M. is an individual health care provider with primary practice located at 327 1St Ave Nw , Hickory NC 28601-6122. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Blue, India M. can be contacted via phone (828) 695-5900.

Contact Information

Primary practice address
327 1St Ave Nw Hickory NC 28601-6122
Phone: (828) 695-5900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 104209 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 104209 North Carolina

Profile Details

NPI number 1578860110
LBN Legal business name Blue, India M.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2011
Last updated Sep 14th, 2016 - about 8 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 1578860110 NPPES
North Carolina MEDICAID 1578860110

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