Blake Jennings Blowers

Individual provider Active NPI Acupuncturist · Bismarck, ND

NPI 1194158014 · NPPES record last updated Aug 14, 2013

Key facts

NPI
1194158014
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
217 (MT)
Practice address
3712 Lockport St
Suite B
Bismarck, ND 58503-1225
Phone
(701) 223-8873
Fax
(701) 223-1014
NPI assigned
Aug 14, 2013
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
217MTMDMental Health Counselor
1416COMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 217 MT Yes
Acupuncturist 171100000X 1416 CO

Addresses

Primary practice location

3712 Lockport St
Suite B
Bismarck, ND 58503-1225

Mailing address

3712 Lockport St
Suite B
Bismarck, ND 58503-1225
Phone (701) 223-8873

Other providers in Bismarck, ND

All providers in Bismarck, ND · Acupuncturist in North Dakota

Sources for this page

Verify at the official NPI Registry.