Burnham, Blaze J

Burnham, Blaze J is an sole proprietor health care provider with primary practice located at 13607 E Sprague Ave , Spokane Valley WA 99216-0809. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Burnham, Blaze J can be contacted via phone (509) 892-3113.

Contact Information

Primary practice address
13607 E Sprague Ave Spokane Valley WA 99216-0809
Fax: (509) 892-3663
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30004598 Washington

Profile Details

NPI number 1174551022
LBN Legal business name Burnham, Blaze J
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2006
Last updated Jul 12th, 2010 - about 15 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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