Couser, Blaine Rodney
Couser, Blaine Rodney is an sole proprietor health care provider with primary practice located at 4540 E Baseline Rd Suite # 104, Mesa AZ 85206-4613. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Couser, Blaine Rodney can be contacted via phone (480) 813-2222.Contact Information
Primary practice address
4540 E Baseline Rd Suite # 104
Mesa AZ 85206-4613
Phone: (480) 813-2222
Fax: (480) 907-7619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 6257 | Arizona |
Profile Details
| NPI number | 1417077918 |
|---|---|
| LBN Legal business name | Couser, Blaine Rodney |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1417077918 | NPPES |
| Arizona | Other | 963943 | AHCCCS PROGRAM NUMBER |
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