Blaha, Madeline

Blaha, Madeline is an individual health care provider with primary practice located at 25615 N Ranch Gate Rd , Scottsdale AZ 85255-2141. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Blaha, Madeline can be contacted via phone (480) 502-7726.

Contact Information

Primary practice address
25615 N Ranch Gate Rd Scottsdale AZ 85255-2141
Phone: (480) 502-7726
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 056.013805 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OTH-008421 Arizona

Profile Details

NPI number 1093328353
LBN Legal business name Blaha, Madeline
Credentials OTD, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2020
Last updated Feb 24th, 2023 - about 3 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 1093328353 NPPES
Arizona MEDICAID 155282

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