Sekovski, Blaze
Sekovski, Blaze is an individual health care provider with primary practice located at 500 W Fort St # 111, Boise ID 83702-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sekovski, Blaze can be contacted via phone (208) 422-1325.Contact Information
Primary practice address
500 W Fort St # 111
Boise ID 83702-4501
Phone: (208) 422-1325
Fax: (208) 422-1319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 152495-1 | New York |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | M-16757 | Idaho |
Profile Details
| NPI number | 1770532988 |
|---|---|
| LBN Legal business name | Sekovski, Blaze |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Sep 29th, 2022 - about 2 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 | 1770532988 | NPPES |
| New York | Other | 161000580 | EMPIRE |
| New York | MEDICAID | 01474139 | EMPIRE |
| New York | Other | 161000580 | EMPIRE |
| New York | Other | 0021748 | EMPIRE |
| New York | Other | 2105974 | EMPIRE |
| New York | Other | 00010161801 | EMPIRE |
| New York | Other | 110084830 | EMPIRE |
| New York | Other | 000505274002 | EMPIRE |
| New York | Other | 161000580 | EMPIRE |
| New York | Other | 161000580 | EMPIRE |
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