Robert W. Blazich is a Clinical in Mequon, Wisconsin. Robert W. Blazich practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert W. Blazich is 1710005483. The last update date is 2007-07-08.
Robert W. Blazich's current location address is 11501 N Port Washington Rd, Mequon, Wisconsin. You can contact this provider via phone number 2622417778 and fax number 2622411012. The mailing address for Robert W. Blazich is 11501 N Port Washington Rd, Mequon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert W. Blazich |
|---|---|
| Address | 11501 N Port Washington Rd, Mequon, Wisconsin |
| Phone Number | 2622417778 |
| Fax Number | 2622411012 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1710005483 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11501 N Port Washington Rd |
|---|---|
| City | Mequon |
| State | Wisconsin (WI) |
| Post Code | 530923465 |
| Phone Number | 2622417778 |
| Fax Number | 2622411012 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2498-123 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Robert W. Blazich?
The Robert W. Blazich has been issued the NPI (National Provider Identifier) 1710005483 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Robert W. Blazich is geographically located?
The Robert W. Blazich is physically situated at the following location: 11501 N Port Washington Rd, Mequon, WI, 530923465.
What is the Robert W. Blazich's specialty and taxonomy code?
The Robert W. Blazich's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Robert W. Blazich's 1710005483 issued?
The Robert W. Blazich's 1710005483 was issued on 2007-03-27.
As of what date were the Robert W. Blazich's details last updated?
The information pertaining to the Robert W. Blazich, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI