Blaine, Cherita R
Blaine, Cherita R is an individual health care provider with primary practice located at 4415 Radnor Rd , Indianapolis IN 46226-2149. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Blaine, Cherita R can be contacted via phone (317) 542-0186.Contact Information
Primary practice address
4415 Radnor Rd
Indianapolis IN 46226-2149
Phone: (317) 542-0186
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 32000124A | Indiana |
Profile Details
| NPI number | 1356537138 |
|---|---|
| LBN Legal business name | Blaine, Cherita R |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2007 |
| Last updated | Jul 25th, 2008 - about 17 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 | 1356537138 | NPPES |
| Indiana | MEDICAID | 200828270A |
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