Blaylock, Bart L
Blaylock, Bart L is an sole proprietor health care provider with primary practice located at 15810 N 28Th Ave , Phoenix AZ 85053-4074. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Nursing Service Providers / Administrator. Nursing Service Providers / Administrator is his primary health care specialty. Blaylock, Bart L can be contacted via phone (480) 758-8626.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Case Management | 163WC0400X | RN144618 | Arizona |
Nursing Service Providers / Administrator | 163WA2000X | RN144618 | Arizona |
Profile Details
NPI number | 1588341200 |
---|---|
LBN Legal business name | Blaylock, Bart L |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 4th, 2023 |
Last updated | Jul 4th, 2023 - about last year |
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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