Blaine, Clinton Jed

Blaine, Clinton Jed is an individual health care provider with primary practice located at 3500 Purdy Rd , Huntingdon TN 38344-8050. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Blaine, Clinton Jed can be contacted via phone (731) 986-2536.

Contact Information

Primary practice address
3500 Purdy Rd Huntingdon TN 38344-8050
Phone: (731) 986-2536
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA161186 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA892 Tennessee

Profile Details

NPI number 1558340844
LBN Legal business name Blaine, Clinton Jed
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Feb 16th, 2022 - 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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