Blasingame, Jennifer J

Blasingame, Jennifer J is an individual health care provider with primary practice located at 1602 Rock Prairie Rd Suite 3000, College Station TX 77845-8306. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Blasingame, Jennifer J can be contacted via phone (979) 764-4043.

Contact Information

Primary practice address
1602 Rock Prairie Rd Suite 3000 College Station TX 77845-8306
Phone: (979) 764-4043
Fax: (979) 694-2175
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X L3243 Texas

Profile Details

NPI number 1730104233
LBN Legal business name Blasingame, Jennifer J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Sep 15th, 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 1730104233 NPPES
Texas Other 160054934 MEDICARE RAILROAD
Texas MEDICAID 147518801 MEDICARE RAILROAD
Texas Other 8308N1 MEDICARE RAILROAD

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