Jacob I. Blazzard is a Medical in Clarkston, Washington. Jacob I. Blazzard practices all healthcare services and medical treatments related to Medical. The NPI Number for Jacob I. Blazzard is 1326125485. The last update date is 2022-08-24.
Jacob I. Blazzard's current location address is 1433 5th St, Clarkston, Washington. You can contact this provider via phone number 5097585141. The mailing address for Jacob I. Blazzard is 1433 5th St, Clarkston, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jacob I. Blazzard |
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Address | 1433 5th St, Clarkston, Washington |
Phone Number | 5097585141 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1326125485 |
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Provider Enumeration Date | 2006-11-01 |
Last Updated Date | 2022-08-24 |
Provider Mailing Address Detail
Address | 1433 5th St |
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City | Clarkston |
State | Washington (WA) |
Post Code | 994032714 |
Phone Number | 5097585141 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | 361 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
Post Comment/ Review Below
What is the unique identifier code issued to Jacob I. Blazzard by the Centers for Medicare & Medicaid Services (CMS)?
The Jacob I. Blazzard has been assigned the NPI (National Provider Identifier) 1326125485. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jacob I. Blazzard?
The Jacob I. Blazzard is physically situated at 1433 5Th St, in the city of Clarkston, state of WA, with the postal code 994032714.
What is the area of specialization for Jacob I. Blazzard, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jacob I. Blazzard is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1326125485 to Jacob I. Blazzard?
The Jacob I. Blazzard received its 1326125485 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.
When was the information pertaining to Jacob I. Blazzard most recently updated or revised?
The details related to Jacob I. Blazzard, including its address, specialty, and other relevant information, were last updated or revised on 2022-08-24.