Bleza, Robert Dale

Bleza, Robert Dale is an sole proprietor health care provider with primary practice located at 303 S Main St , Bluffton IN 46714-2503. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bleza, Robert Dale can be contacted via phone (260) 353-2021.

Contact Information

Primary practice address
303 S Main St Bluffton IN 46714-2503
Phone: (260) 353-2021
Fax: (260) 479-2990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 010145671A Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 01045671A Indiana

Profile Details

NPI number 1891893731
LBN Legal business name Bleza, Robert Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Sep 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891893731 NPPES
Indiana Other P00881327 RAILROAD MEDICARE
Indiana MEDICAID 201011620A RAILROAD MEDICARE

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