Blackham, Aimee
Blackham, Aimee is an sole proprietor health care provider with primary practice located at 617 S Trenton St , Ruston LA 71270-5040. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Blackham, Aimee can be contacted via phone (318) 251-4659.Contact Information
Primary practice address
617 S Trenton St
Ruston LA 71270-5040
Phone: (318) 251-4659
Fax: (318) 251-4659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 1373 | Louisiana |
Profile Details
| NPI number | 1114332038 |
|---|---|
| LBN Legal business name | Blackham, Aimee |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2014 |
| Last updated | Sep 30th, 2016 - about 8 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 | 1114332038 | NPPES |
| Louisiana | MEDICAID | 567123890 |
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