Blalock, Craig James
Blalock, Craig James is an sole proprietor health care provider with primary practice located at 2055 Gause Blvd E Suite 300, Slidell LA 70461-5432. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Blalock, Craig James can be contacted via phone (985) 661-9600.Contact Information
Primary practice address
2055 Gause Blvd E Suite 300
Slidell LA 70461-5432
Phone: (985) 661-9600
Fax: (985) 661-9933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1195 | Louisiana |
Profile Details
| NPI number | 1730159708 |
|---|---|
| LBN Legal business name | Blalock, Craig James |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2006 |
| Last updated | May 1st, 2008 - 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 | 1730159708 | NPPES |
| Louisiana | Other | 7162744 | AETNA |
| Louisiana | Other | G4449 | AETNA |
| Louisiana | Other | 617110 | AETNA |
| Louisiana | Other | 2513752 | AETNA |
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