Blake, Stephanie Danielle

Blake, Stephanie Danielle is an individual health care provider with primary practice located at 621 W 21St St , Andover KS 67002-8498. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as her primary health care specialty. Blake, Stephanie Danielle can be contacted via phone (316) 733-1349.

Contact Information

Primary practice address
621 W 21St St Andover KS 67002-8498
Phone: (316) 733-1349
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 11-04112 Kansas

Profile Details

NPI number 1003124769
LBN Legal business name Blake, Stephanie Danielle
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2010
Last updated Sep 15th, 2010 - about 15 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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