Blakemore, Alfred
Blakemore, Alfred is an sole proprietor health care provider with primary practice located at 3642 Botanical Ave , Saint Louis MO 63110-4002. He recently has only one registered license in Agencies / Home Health, which is considered as his primary health care specialty. Blakemore, Alfred can be contacted via phone (341) 664-8616.Contact Information
Primary practice address
3642 Botanical Ave
Saint Louis MO 63110-4002
Phone: (341) 664-8616
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X |
Profile Details
| NPI number | 1063545788 |
|---|---|
| LBN Legal business name | Blakemore, Alfred |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063545788 | NPPES |
| Missouri | MEDICAID | 7147 |
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