Blakeman, Faron
Blakeman, Faron is an sole proprietor health care provider with primary practice located at 728 E Broadway St , Campbellsville KY 42718-1504. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Blakeman, Faron can be contacted via phone (270) 465-4047.Contact Information
Primary practice address
728 E Broadway St
Campbellsville KY 42718-1504
Phone: (270) 465-4047
Fax: (270) 469-9747
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | 494 | Kentucky |
Profile Details
NPI number | 1518296052 |
---|---|
LBN Legal business name | Blakeman, Faron |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 11th, 2009 |
Last updated | Dec 11th, 2009 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518296052 | NPPES |
Kentucky | Other | 203810955 | TAX ID |
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