Blamer, Karen K

Blamer, Karen K is an individual health care provider with primary practice located at 3300 W Centre Ave , Portage MI 49024-4666. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Blamer, Karen K can be contacted via phone (269) 324-8950.

Contact Information

Primary practice address
3300 W Centre Ave Portage MI 49024-4666
Phone: (269) 324-8950
Fax: (269) 324-2134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704108809 Michigan

Profile Details

NPI number 1215907795
LBN Legal business name Blamer, Karen K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
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 1215907795 NPPES
Michigan MEDICAID 4427523

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