Dore', Blaine C

Dore', Blaine C is an individual health care provider with primary practice located at 1710 Harrison St , Batesville AR 72501-7303. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Dore', Blaine C can be contacted via phone (870) 262-3280.

Contact Information

Primary practice address
1710 Harrison St Batesville AR 72501-7303
Phone: (870) 262-3280
Fax: (870) 262-3284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CTP000105 Arkansas

Profile Details

NPI number 1326273830
LBN Legal business name Dore', Blaine C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2009
Last updated May 28th, 2009 - about 16 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 1326273830 NPPES
Arkansas Other CTP-000105 TEMPORARY CRNA LICENSE

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