Blaker, Randy Joseph

Blaker, Randy Joseph is an individual health care provider with primary practice located at 1634 Lynn St , Owosso MI 48867-3342. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Blaker, Randy Joseph can be contacted via phone (989) 627-7242.

Contact Information

Primary practice address
1634 Lynn St Owosso MI 48867-3342
Phone: (989) 627-7242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1912480823
LBN Legal business name Blaker, Randy Joseph
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2018
Last updated Sep 7th, 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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