Blazer, Jason David
Blazer, Jason David is an sole proprietor health care provider with primary practice located at 264 Heights Rd , Darien CT 06820-4122. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Blazer, Jason David can be contacted via phone (203) 655-6464.Contact Information
Primary practice address
264 Heights Rd
Darien CT 06820-4122
Phone: (203) 655-6464
Fax: (203) 655-2859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 005925 | Connecticut |
Profile Details
| NPI number | 1750331088 |
|---|---|
| LBN Legal business name | Blazer, Jason David |
| Credentials | M.S., P.T. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Oct 17th, 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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