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KEITH BLAIR NPI 1861675746


NPI Information

NPI: 1861675746
Provider Name: KEITH BLAIR
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
725 N SANDUSKY AVE
BUCYRUS, OH
ZIP 44820
Phone: (419) 562-7676
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KEITH BLAIR is a family medicine in Bucyrus, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KEITH BLAIR NPI is 1861675746. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

725 N SANDUSKY AVE
BUCYRUS, OH
ZIP 44820-463
Phone: (419) 562-7676
Fax: (419) 562-8469

The provider's authorized official is Keith David Blair .
The authorized official title is Md and has the following contact phone number (419) 562-7676.

The enumeration date for this NPI number is 12/13/2007 and was last updated on 12/6/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine35037333BOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10246335MEDICAIDOHIO
2A74864MEDICARE UPINOHIO
39341761MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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