Blasezyk, Angela
Blasezyk, Angela is an sole proprietor health care provider with primary practice located at 600 N Springdale Rd , Waukesha WI 53186-1815. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Blasezyk, Angela can be contacted via phone (262) 789-1580.Contact Information
Primary practice address
600 N Springdale Rd
Waukesha WI 53186-1815
Phone: (262) 789-1580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 18539-40 | Wisconsin |
Profile Details
| NPI number | 1710439567 |
|---|---|
| LBN Legal business name | Blasezyk, Angela |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2016 |
| Last updated | Oct 27th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710439567 | NPPES |
| Wisconsin | Other | 18539-40 | STATE LICENSE |
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