Blaser, Mark A

Blaser, Mark A is an individual health care provider with primary practice located at 600 John Deere Road Suite 200, Moline IL 61265-6897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Blaser, Mark A can be contacted via phone (309) 779-4200.

Contact Information

Primary practice address
600 John Deere Road Suite 200 Moline IL 61265-6897
Phone: (309) 779-4200
Fax: (309) 779-4305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 0360778877 Illinois

Profile Details

NPI number 1982683264
LBN Legal business name Blaser, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Jun 11th, 2008 - about 18 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 1982683264 NPPES
Illinois Other 370002995 RR MEDICARE
Illinois MEDICAID 036078877 RR MEDICARE

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