Blake, Shirley R
Blake, Shirley R is an sole proprietor health care provider with primary practice located at 24063 Highpoint Rd , Bristol VA 24202-4707. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Interpreter, Other Service Providers / Specialist, Other Service Providers / Prevention Professional. Other Service Providers / Specialist is her primary health care specialty. Blake, Shirley R can be contacted via phone (276) 971-0079.Contact Information
Primary practice address
24063 Highpoint Rd
Bristol VA 24202-4707
Phone: (276) 971-0079
Fax: (276) 591-5353
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Interpreter | 171R00000X | Virginia | |
Other Service Providers / Specialist | 174400000X | PGP-127280 | Virginia |
Other Service Providers / Prevention Professional | 405300000X | 10,545 | Virginia |
Profile Details
NPI number | 1467988360 |
---|---|
LBN Legal business name | Blake, Shirley R |
Credentials | M.S. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 11th, 2017 |
Last updated | May 11th, 2017 - about 7 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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