Blair, Bradley Jacob

Blair, Bradley Jacob is an individual health care provider with primary practice located at 907 E Lamar Alexander Pkwy , Maryville TN 37804-5015. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Blair, Bradley Jacob can be contacted via phone (865) 380-9070.

Contact Information

Primary practice address
907 E Lamar Alexander Pkwy Maryville TN 37804-5015
Phone: (865) 380-9070
Fax: (865) 380-9093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 180244 Tennessee

Profile Details

NPI number 1437528148
LBN Legal business name Blair, Bradley Jacob
Credentials BSN, RN, CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2015
Last updated Nov 10th, 2015 - about 11 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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