Blalock, Andrew Lee
Blalock, Andrew Lee is an individual health care provider with primary practice located at 97 W Main St Apt 47, Niantic CT 06357-1749. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Blalock, Andrew Lee can be contacted via phone (305) 492-5489.Contact Information
Primary practice address
97 W Main St Apt 47
Niantic CT 06357-1749
Phone: (305) 492-5489
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1447557657 |
|---|---|
| LBN Legal business name | Blalock, Andrew Lee |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2011 |
| Last updated | Feb 24th, 2011 - about 13 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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