Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evan Blazek

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164301677

Evan Blazek is a Student in an Organized Health Care Education/Training Program in Ada, Ohio. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

402 W College Ave Unit 2622
Ada, OH 45810-6109
Phone: (317) 474-5402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164301677
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 28, 2025
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025
Mailing address617 S Gilbert St, Ada, OH 45810-1311

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