Blose, Marissa Virginia

Blose, Marissa Virginia is an individual health care provider with primary practice located at 100 Hospital Ave , Du Bois PA 15801-1440. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Blose, Marissa Virginia can be contacted via phone (814) 371-2200.

Contact Information

Primary practice address
100 Hospital Ave Du Bois PA 15801-1440
Phone: (814) 371-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1316431380
LBN Legal business name Blose, Marissa Virginia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2018
Last updated Feb 8th, 2022 - about 4 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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