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
Phone: (863) 644-1560
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821262296 | NPPES |
Florida | MEDICAID | 230311600 |
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