Blair, Jackie C
Blair, Jackie C is an individual health care provider with primary practice located at 146 School Bus Lane , Snowflake AZ 85937. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Blair, Jackie C can be contacted via phone (928) 536-4156.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | 86020236 | Arizona |
Profile Details
| NPI number | 1821274408 |
|---|---|
| LBN Legal business name | Blair, Jackie C |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2008 |
| Last updated | Jan 14th, 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 | 1821274408 | NPPES |
| Arizona | MEDICAID | 86020236 |
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