Blake, Karla Annette

Blake, Karla Annette is an sole proprietor health care provider with primary practice located at 858 Starlight Ct , Herrin IL 62948-2445. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Blake, Karla Annette can be contacted via phone (618) 942-5096.

Contact Information

Primary practice address
858 Starlight Ct Herrin IL 62948-2445
Phone: (618) 942-5096
Fax: (618) 987-4163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1558484287
LBN Legal business name Blake, Karla Annette
Credentials DT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Jul 8th, 2007 - 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.

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