Blalock, Shelby

Blalock, Shelby is an individual health care provider with primary practice located at 55 Park St , New Haven CT 06511-5474. She recently has only one registered license in Pharmacy Service Providers / Pediatrics, which is considered as her primary health care specialty. Blalock, Shelby can be contacted via phone (270) 227-1701.

Contact Information

Primary practice address
55 Park St New Haven CT 06511-5474
Phone: (270) 227-1701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pediatrics 1835P0200X PCT.0014711 Connecticut

Profile Details

NPI number 1104483007
LBN Legal business name Blalock, Shelby
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2019
Last updated May 26th, 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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