Blaeckbourn-Crahen, Mariah Jentiel

Blaeckbourn-Crahen, Mariah Jentiel is an individual health care provider with primary practice located at 600 W 3Rd St , Mansfield OH 44906-2633. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Blaeckbourn-Crahen, Mariah Jentiel can be contacted via phone (419) 522-6191.

Contact Information

Primary practice address
600 W 3Rd St Mansfield OH 44906-2633
Phone: (419) 522-6191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP 10470 Ohio

Profile Details

NPI number 1376786343
LBN Legal business name Blaeckbourn-Crahen, Mariah Jentiel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2009
Last updated Jul 21st, 2022 - about 2 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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