National Provider Identifier Database

GORDON R BLAIR, CRNP – NPI #1275633893
Family


Contact Information

GORDON R BLAIR, CRNP
1701 MAIN AVE SW
SUITE A
CULLMAN, AL35055-5299
Phone: 256-737-0880
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for GORDON R BLAIR

NPI Number 1275633893
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 09/24/2006
Last updated 04/18/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • AL License #: 1046758
  • AL Other: 1046758 LICENSE NUMBER
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.

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