Mateo Blair
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Indianapolis, IN
NPI 1750116026 · NPPES record last updated Sep 5, 2024
Key facts
- NPI
- 1750116026
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 910 Fayette St
Indianapolis, IN 46202-3019 - Phone
- (224) 616-8866
- NPI assigned
- Sep 5, 2024
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
910 Fayette St
Indianapolis, IN 46202-3019
Mailing address
910 Fayette St
Indianapolis, IN 46202-3019
Other providers in Indianapolis, IN
- Natalie Blaine
- Casie Ruth Blair-Smith
- Aaron Frederick Blair
- Jennifer Blair
- Kirsten Blair
- Nicole Blair
- Austin Blais
- Donna Marie Blake
- Ethan Jeffrey Blake
- Hillary S Blake
All providers in Indianapolis, IN · Student in an Organized Health Care Education/Training Program in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 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.