IndividualActive
Evan Blazek
NPI 1164301677 · Student in an Organized Health Care Education/Training Program · Ada, OH
Provider details
- NPI number
- 1164301677
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
402 W College Ave Unit 2622
Ada, OH 45810-6109
Phone: (317) 474-5402
Approximate (ZIP-level) locationGet directions
Mailing address
617 S Gilbert St
Ada, OH 45810-1311
Registry dates
- Enumerated
- 2025-08-28
- Last updated
- 2025-08-28
- Certified
- 2025-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.