Blackmore, Jarrett Resean

Blackmore, Jarrett Resean is an sole proprietor health care provider with primary practice located at 4310 Burgess Dr , Baker LA 70714-2410. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Blackmore, Jarrett Resean can be contacted via phone (225) 347-4088.

Contact Information

Primary practice address
4310 Burgess Dr Baker LA 70714-2410
Phone: (225) 347-4088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 011083246 Louisiana

Profile Details

NPI number 1811570369
LBN Legal business name Blackmore, Jarrett Resean
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2021
Last updated May 3rd, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811570369 NPPES
Louisiana MEDICAID 202620372

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