Blacketer, Sheila Suzanne

Blacketer, Sheila Suzanne is an sole proprietor health care provider with primary practice located at 700 53Rd Ave Nw , Salem OR 97304-3248. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Blacketer, Sheila Suzanne can be contacted via phone (503) 871-5214.

Contact Information

Primary practice address
700 53Rd Ave Nw Salem OR 97304-3248
Phone: (503) 871-5214
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H3855 Oregon

Profile Details

NPI number 1861630808
LBN Legal business name Blacketer, Sheila Suzanne
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2009
Last updated Jan 29th, 2009 - about 16 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.

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