Blaine, James L

Blaine, James L is an individual health care provider with primary practice located at 1448 E Center St Ste E , Pocatello ID 83201-4132. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Blaine, James L can be contacted via phone (208) 234-1300.

Contact Information

Primary practice address
1448 E Center St Ste E Pocatello ID 83201-4132
Phone: (208) 234-1300
Fax: (208) 234-1333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-353 Idaho

Profile Details

NPI number 1801963459
LBN Legal business name Blaine, James L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jun 29th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801963459 NPPES
Idaho MEDICAID 1801963459
Idaho Other 1667204

Popular Providers