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
Fax: (609) 890-6865
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902872815 NPPES
New Jersey MEDICAID 0054470

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