Blades, Magen Morine

Blades, Magen Morine is an individual health care provider with primary practice located at 1242 E. Independence Suite 200, Springfield MO 65804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Blades, Magen Morine can be contacted via phone (417) 883-5500.

Contact Information

Primary practice address
1242 E. Independence Suite 200 Springfield MO 65804
Fax: (417) 883-5577
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2008009941 Missouri

Profile Details

NPI number 1811162852
LBN Legal business name Blades, Magen Morine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Dec 29th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811162852 NPPES
Missouri Other 1811162852 TRICARE
Missouri Other P00957131 TRICARE

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