Blaine C Etzel PA-C

  • NPI 1881686590
According to our database, the NPI number for Blaine C Etzel PA-C is 1881686590 and activated since 18 years ago. Blaine C Etzel PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 100 Kellie Dr, Smithfield, NC 27577. You can also contact Blaine C Etzel PA-C via telephone number is (919) 220-5255. Provider NPI information was last updated on 09/23/2020.

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Overview of Blaine C Etzel PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/18/2005
  • Last updated: 09/23/2020

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 0010-10604
  • License State: NC

Provider Mailing Address

  • Address: 120 William Penn Plz
    Durham, NC 27704
  • Phone: 919-220-5255
  • Fax: 919-313-1276

Provider Practice Location

  • Address: 100 Kellie Dr
    Smithfield, NC 27577
  • Phone: 919-220-5255
  • Fax: 919-313-1276

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA10004050
  • License State: WA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 000900843
  • Identifier Type: Other
  • Identifier State: MT
  • Issuer: BLUECROSS BLUESHIELD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Blaine C Etzel PA-C?
  • A: The npi number for Blaine C Etzel PA-C is 1881686590.
  • Q: What are Blaine C Etzel PA-C's specialties?
  • A: Blaine C Etzel PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Blaine C Etzel PA-C?
  • A: The medical license number for Blaine C Etzel PA-C is 0010-10604 and issued in NC in USA.
  • Q: Where is Blaine C Etzel PA-C practice location?
  • A: Blaine C Etzel PA-C is practicing at 100 Kellie Dr, Smithfield, NC 27577.
  • Q: How to contact Blaine C Etzel PA-C?
  • A: You can contact Blaine C Etzel PA-C via 919-220-5255.