Blake-Krickovich, Judith A

Blake-Krickovich, Judith A is an sole proprietor health care provider with primary practice located at 5 Fort St Auburn, Auburn NY 13021-3731. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Blake-Krickovich, Judith A can be contacted via phone (315) 730-7353.

Contact Information

Primary practice address
5 Fort St Auburn Auburn NY 13021-3731
Phone: (315) 730-7353
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 3645A2200X New York

Profile Details

NPI number 1255636288
LBN Legal business name Blake-Krickovich, Judith A
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2011
Last updated Jan 23rd, 2011 - about 14 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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