Brandon Blascak
Individual provider Active NPI Homemaker · Vermilion, OH
NPI 1336903608 · NPPES record last updated Feb 7, 2024
Key facts
- NPI
- 1336903608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 5929 Cape Hatteras Dr
Vermilion, OH 44089-3820 - Phone
- (440) 465-8364
- NPI assigned
- Feb 7, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
5929 Cape Hatteras Dr
Vermilion, OH 44089-3820
Mailing address
5929 Cape Hatteras Dr
Vermilion, OH 44089-3820
Phone (440) 465-8364
Other providers in Vermilion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.