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

Primary practice address
15810 N 28Th Ave Phoenix AZ 85053-4074
Phone: (480) 758-8626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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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