Blake, Stephanie
Blake, Stephanie is an sole proprietor health care provider with primary practice located at 60 W Fulbright St , Walnut Ridge AR 72476-9000. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Blake, Stephanie can be contacted via phone (870) 208-5631.Contact Information
Primary practice address
60 W Fulbright St
Walnut Ridge AR 72476-9000
Phone: (870) 208-5631
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT701 | Arkansas |
Profile Details
| NPI number | 1144710815 |
|---|---|
| LBN Legal business name | Blake, Stephanie |
| Credentials | ATC/LAT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2018 |
| Last updated | May 17th, 2018 - 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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