Blasingame, Heather

Blasingame, Heather is an individual health care provider with primary practice located at 1501 Olive St , Lawrenceville IL 62439-2269. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Blasingame, Heather can be contacted via phone (618) 943-3451.

Contact Information

Primary practice address
1501 Olive St Lawrenceville IL 62439-2269
Fax: (618) 943-4368
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1053509026
LBN Legal business name Blasingame, Heather
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2007
Last updated Nov 6th, 2007 - about 17 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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