Blanchard, Kellie Justice
Blanchard, Kellie Justice is an sole proprietor health care provider with primary practice located at 1015 Oakhurst Dr , Charleston WV 25314-2049. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Blanchard, Kellie Justice can be contacted via phone (304) 345-8101.Contact Information
Primary practice address
1015 Oakhurst Dr
Charleston WV 25314-2049
Phone: (304) 345-8101
Fax: (304) 345-7386
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 002161 | West Virginia |
Profile Details
| NPI number | 1073521787 |
|---|---|
| LBN Legal business name | Blanchard, Kellie Justice |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1073521787 | NPPES |
| West Virginia | MEDICAID | 7302401-000 |
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