Fritz, Blayne L

Fritz, Blayne L is an sole proprietor health care provider with primary practice located at 1035 Monroe Ave , Helena MT 59601-2652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fritz, Blayne L can be contacted via phone (406) 431-5781.

Contact Information

Primary practice address
1035 Monroe Ave Helena MT 59601-2652
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 7761 Montana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 143824 Alaska

Profile Details

NPI number 1801862412
LBN Legal business name Fritz, Blayne L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2006
Last updated Jan 28th, 2020 - about 4 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 1801862412 NPPES
Montana MEDICAID 1801862412

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