Blevins, Roger Owen
Blevins, Roger Owen is an sole proprietor health care provider with primary practice located at Msc 10 5590 1 University Of New Mexico, Albuquerque NM 87131-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Blevins, Roger Owen can be contacted via phone (602) 644-0735.Contact Information
Primary practice address
Msc 10 5590 1 University Of New Mexico
Albuquerque NM 87131-0001
Phone: (602) 644-0735
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R0034727 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP4644 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | CNP02896 | New Mexico |
Profile Details
| NPI number | 1255304176 |
|---|---|
| LBN Legal business name | Blevins, Roger Owen |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2006 |
| Last updated | May 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.
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