Blackburn, Soni Elizabeth
Blackburn, Soni Elizabeth is an sole proprietor health care provider with primary practice located at 215 Kirkland Rd , Covington GA 30016-3318. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Blackburn, Soni Elizabeth can be contacted via phone (678) 209-2770.Contact Information
Primary practice address
215 Kirkland Rd
Covington GA 30016-3318
Phone: (678) 209-2770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | MSW010507 | Georgia |
Profile Details
| NPI number | 1598474900 |
|---|---|
| LBN Legal business name | Blackburn, Soni Elizabeth |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2022 |
| Last updated | Nov 15th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598474900 | NPPES |
| Georgia | Other | 070281497 | GEORGIA DMV |
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