Blea, Michael James
Blea, Michael James is an sole proprietor health care provider with primary practice located at 6701 Jefferson St Ne , Albuquerque NM 87109-4318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Blea, Michael James can be contacted via phone (505) 727-6200.Contact Information
Primary practice address
6701 Jefferson St Ne
Albuquerque NM 87109-4318
Phone: (505) 727-6200
Fax: (505) 727-6200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 251879 | Massachusetts |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD2019-1075 | New Mexico |
Profile Details
| NPI number | 1245591643 |
|---|---|
| LBN Legal business name | Blea, Michael James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2012 |
| Last updated | Dec 28th, 2020 - about 6 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 | 1245591643 | NPPES |
| New Mexico | MEDICAID | 5408721 |
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