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EVAN BLAZEK
NPI 1164301677
Student in an Organized Health Care Education/Training Program in Ada, OH

Active since August 28, 2025
402 W COLLEGE AVE UNIT 2622, ADA, OH 45810(317) 474-5402 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan Blazek NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN BLAZEK (NPI 1164301677) is an individual student in an organized health care education/training program in Ada, Ohio and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1164301677
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEVAN BLAZEK
Location Address402 W COLLEGE AVE UNIT 2622Ada, OH 45810-6109
Mailing Address617 S Gilbert StAda, OH 45810-1311
Phone(317) 474-5402
Sole ProprietorNo
Enumeration DateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1164301677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
402 W COLLEGE AVE UNIT 2622, Ada, OH 45810
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Blazek's NPI number?

The NPI number for Evan Blazek is 1164301677. It was assigned to this individual provider in the NPPES registry on August 28, 2025.

Where is Evan Blazek located?

Evan Blazek practices at 402 W College Ave Unit 2622, Ada, OH 45810. The listed phone number is (317) 474-5402.

What is Evan Blazek's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Evan Blazek was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.