Blake, Dion Ericson

Blake, Dion Ericson is an individual health care provider with primary practice located at Uss John L. Hall Fpo Aa 34091, Jacksonville FL 32228. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Blake, Dion Ericson can be contacted via phone (904) 270-6541.

Contact Information

Primary practice address
Uss John L. Hall Fpo Aa 34091 Jacksonville FL 32228
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1922076827
LBN Legal business name Blake, Dion Ericson
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Mar 7th, 2008 - about 16 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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