Stevenson, Blake A

Stevenson, Blake A is an individual health care provider with primary practice located at 327 Medical Park Dr , Bridgeport WV 26330-9006. 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. Stevenson, Blake A can be contacted via phone (681) 342-1000.

Contact Information

Primary practice address
327 Medical Park Dr Bridgeport WV 26330-9006
Phone: (681) 342-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 71616 West Virginia

Profile Details

NPI number 1902093115
LBN Legal business name Stevenson, Blake A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2007
Last updated Aug 19th, 2011 - about 14 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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