Blasa, Cori L

Blasa, Cori L is an individual health care provider with primary practice located at 10012 Kennerly Rd #301 Gateway Cardiology Pc, St Louis MO 63128. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Blasa, Cori L can be contacted via phone (314) 729-0088.

Contact Information

Primary practice address
10012 Kennerly Rd #301 Gateway Cardiology Pc St Louis MO 63128
Phone: (314) 729-0088
Fax: (314) 729-3974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 149338 Missouri
Nursing Service Providers / Registered Nurse 163W00000X 41307283 Illinois

Profile Details

NPI number 1619178035
LBN Legal business name Blasa, Cori L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Jul 8th, 2007 - about 19 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 1619178035 NPPES
Missouri Other 149338 RN LIC
Missouri Other 41307283 RN LIC

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