Blalock, Ryan Taylor

Blalock, Ryan Taylor is an individual health care provider with primary practice located at 310 W Losey St , Scott Afb IL 62225-5250. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Blalock, Ryan Taylor can be contacted via phone (618) 256-9355.

Contact Information

Primary practice address
310 W Losey St Scott Afb IL 62225-5250
Phone: (618) 256-9355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1215580386
LBN Legal business name Blalock, Ryan Taylor
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2019
Last updated Jul 18th, 2019 - about 5 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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