Blake, Elizabeth Grace
Blake, Elizabeth Grace is an individual health care provider with primary practice located at 53 Don Knotts Blvd , Morgantown WV 26508-6838. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Blake, Elizabeth Grace can be contacted via phone (304) 284-0025.Contact Information
Primary practice address
53 Don Knotts Blvd
Morgantown WV 26508-6838
Phone: (304) 284-0025
Fax: (304) 284-0031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1457931586 |
|---|---|
| LBN Legal business name | Blake, Elizabeth Grace |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2021 |
| Last updated | Apr 13th, 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.
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