Blakeslee, William Hartley

Blakeslee, William Hartley is an individual health care provider with primary practice located at 601 John St Box 74, Kalamazoo MI 49007-5341. 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. Blakeslee, William Hartley can be contacted via phone (269) 341-8481.

Contact Information

Primary practice address
601 John St Box 74 Kalamazoo MI 49007-5341
Phone: (269) 341-8481
Fax: (269) 341-7781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005112 Michigan

Profile Details

NPI number 1306039490
LBN Legal business name Blakeslee, William Hartley
Credentials WILLIAM BLAKESLEE PA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2007
Last updated Oct 31st, 2014 - about 12 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 1306039490 NPPES
Michigan Other 1417961137 BCBSM - BRONSON
Michigan MEDICAID 1306039490 BCBSM - BRONSON

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