Blaine, Joy O
Blaine, Joy O is an individual health care provider with primary practice located at 2333 Whitehorse Mercerville Rd Ste 4, Mercerville NJ 08619-1946. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Blaine, Joy O can be contacted via phone (609) 890-9111.Contact Information
Primary practice address
2333 Whitehorse Mercerville Rd Ste 4
Mercerville NJ 08619-1946
Phone: (609) 890-9111
Fax: (609) 890-6865
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | Q26728 | New Jersey |
Profile Details
NPI number | 1902872815 |
---|---|
LBN Legal business name | Blaine, Joy O |
Credentials | NPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 28th, 2006 |
Last updated | Sep 27th, 2007 - 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 | 1902872815 | NPPES |
New Jersey | MEDICAID | 0054470 |
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