Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI Number | 1245554575 |
| LBN Legal business name | BLUE COLLAR MEDICINE |
| Authorized official | CHRISTOPHER MALONE - (CHIEF OPERATING OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/15/2010 |
| Last updated | 03/15/2010 - About 16 years ago |
| Identifiers | n/a |
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BLUE COLLAR MEDICINE
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BLUE COLLAR MEDICINE