National Provider Identifier Database

JASON R BLAZINA
Driver

A person employed to operate a motor vehicle as a carrier of persons or property.


Contact Information

JASON R BLAZINA
1000 N 92ND ST
MILWAUKEE, WI53226-3533
Phone: 414-479-9400
Fax: 414-259-1663
Website:
Specialty Taxonomy Code
* Driver 172A00000X

* Indicates primary specialty

NPI Profile & details for JASON R BLAZINA

NPI Number 1093925562
Credentials
Entity Individual
Enumeration date 05/23/2007
Last updated 04/17/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • WI License #: B425-4366-9058-05
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JASON R BLAZINA

There are currently no reviews for JASON R BLAZINA


NPIdb - Home
v2.201