Bradley, Jennifer Blase
Bradley, Jennifer Blase is an individual health care provider with primary practice located at 13430 N Meridian St Suite 275, Carmel IN 46032-1405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Bradley, Jennifer Blase can be contacted via phone (317) 582-8810.Contact Information
Primary practice address
13430 N Meridian St Suite 275
Carmel IN 46032-1405
Phone: (317) 582-8810
Fax: (317) 582-8863
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 085-002534 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 10001216A | Indiana |
Profile Details
NPI number | 1427145317 |
---|---|
LBN Legal business name | Bradley, Jennifer Blase |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 10th, 2006 |
Last updated | Jun 1st, 2022 - 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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