Blake, Julie E

Blake, Julie E is an individual health care provider with primary practice located at 179 Station Place Way , Hurricane WV 25526-8747. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Blake, Julie E can be contacted via phone (304) 760-6300.

Contact Information

Primary practice address
179 Station Place Way Hurricane WV 25526-8747
Fax: (304) 201-5123
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-759 West Virginia

Profile Details

NPI number 1124180898
LBN Legal business name Blake, Julie E
Credentials M.A. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 15th, 2009 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124180898 NPPES
West Virginia Other 31150445300 WORKERS COMP
West Virginia MEDICAID 9400072-000 WORKERS COMP
West Virginia Other 1712303 WORKERS COMP
West Virginia Other 6147520 WORKERS COMP
West Virginia Other 311504453 WORKERS COMP

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