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DAVID A. BLEZA MD LLC NPI 1417288994


NPI Information

NPI: 1417288994
Provider Name: DAVID A. BLEZA MD LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
9150 E 109TH AVE STE 2D
CROWN POINT, IN
ZIP 46307
Phone: (219) 779-9721
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DAVID A. BLEZA MD LLC is a specialist in Crown Point, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DAVID A. BLEZA MD LLC NPI is 1417288994. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9150 E 109TH AVE STE 2D
CROWN POINT, IN
ZIP 46307-687
Phone: (219) 779-9721
Fax: (219) 779-9726

The provider's authorized official is David A Bleza .
The authorized official title is President and has the following contact phone number (219) 779-9721.

The enumeration date for this NPI number is 1/22/2010 and was last updated on 4/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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