Blankenship, Skylar Jade

Blankenship, Skylar Jade is an individual health care provider with primary practice located at 3425 13Th St , Baker City OR 97814-1340. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Blankenship, Skylar Jade can be contacted via phone (541) 523-7400.

Contact Information

Primary practice address
3425 13Th St Baker City OR 97814-1340
Fax: (541) 523-4927
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Oregon

Profile Details

NPI number 1457934861
LBN Legal business name Blankenship, Skylar Jade
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2021
Last updated May 3rd, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457934861 NPPES
Oregon Other A716116 DRIVER'S LICENSE

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