Blake, Stedmond L

Blake, Stedmond L is an individual health care provider with primary practice located at 1060 Gaffney Rd Commander,Usa-Maeeac-Ak,Attn:Mcuc-Mmd-Qm, Ft Wainwright AK 99703-5001. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Blake, Stedmond L can be contacted via phone (907) 353-5418.

Contact Information

Primary practice address
1060 Gaffney Rd Commander,Usa-Maeeac-Ak,Attn:Mcuc-Mmd-Qm Ft Wainwright AK 99703-5001
Phone: (907) 353-5418
Fax: (907) 353-4845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X P5585 Alaska

Profile Details

NPI number 1902878192
LBN Legal business name Blake, Stedmond L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
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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