Blazun, Judith M

Blazun, Judith M is an individual health care provider with primary practice located at 2725 Capitol Ave Suite 404, Sacramento CA 95816-6004. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Blazun, Judith M can be contacted via phone (916) 262-9456.

Contact Information

Primary practice address
2725 Capitol Ave Suite 404 Sacramento CA 95816-6004
Phone: (916) 262-9456
Fax: (916) 262-9460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G63152 Arkansas
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X G63152 California
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G63152 California

Profile Details

NPI number 1962414011
LBN Legal business name Blazun, Judith M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jul 10th, 2015 - about 11 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 1962414011 NPPES
California MEDICAID 00G631520

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