Blake, Traci A
Blake, Traci A is an individual health care provider with primary practice located at 5023 Bush Hill Rd , Canisteo NY 14823-9675. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Blake, Traci A can be contacted via phone (607) 968-4125.Contact Information
Primary practice address
5023 Bush Hill Rd
Canisteo NY 14823-9675
Phone: (607) 968-4125
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | 804067-02 | New York |
Profile Details
| NPI number | 1093385759 |
|---|---|
| LBN Legal business name | Blake, Traci A |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2021 |
| Last updated | Jun 25th, 2021 - about 4 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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