Blair, Heather Danelle
Blair, Heather Danelle is an sole proprietor health care provider with primary practice located at 903 S 12Th St , Rocky Ford CO 81067-2127. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Blair, Heather Danelle can be contacted via phone (719) 254-7623.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 905876 | Colorado |
Profile Details
| NPI number | 1508450685 |
|---|---|
| LBN Legal business name | Blair, Heather Danelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2021 |
| Last updated | Mar 1st, 2021 - about 4 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 | 1508450685 | NPPES |
| Colorado | Other | 905876 | LICENSURE |
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