Theis, Blair A
Theis, Blair A is an individual health care provider with primary practice located at 35 Goodwin Dr , Festus MO 63028-4122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Theis, Blair A can be contacted via phone (636) 933-4141.Contact Information
Primary practice address
35 Goodwin Dr
Festus MO 63028-4122
Phone: (636) 933-4141
Fax: (636) 931-7007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 2013035893 | Missouri |
Profile Details
| NPI number | 1013568120 |
|---|---|
| LBN Legal business name | Theis, Blair A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2019 |
| Last updated | Feb 24th, 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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