Blain, Marion

Blain, Marion is an sole proprietor health care provider with primary practice located at 6642 Forestwood Dr W , Lakeland FL 33811-2414. She recently has only one registered license in Agencies / Foster Care Agency, which is considered as her primary health care specialty. Blain, Marion can be contacted via phone (863) 644-1560.

Contact Information

Primary practice address
6642 Forestwood Dr W Lakeland FL 33811-2414
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X

Profile Details

NPI number 1821262296
LBN Legal business name Blain, Marion
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2008
Last updated Sep 10th, 2010 - about 14 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 1821262296 NPPES
Florida MEDICAID 230311600

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