Blaylock, Terry

Blaylock, Terry is an sole proprietor health care provider with primary practice located at 3238 N 2Nd St , Milwaukee WI 53212-2021. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Blaylock, Terry can be contacted via phone (414) 731-2616.

Contact Information

Primary practice address
3238 N 2Nd St Milwaukee WI 53212-2021
Phone: (414) 731-2616
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 1068-019 Wisconsin

Profile Details

NPI number 1710154836
LBN Legal business name Blaylock, Terry
Credentials PTA1
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2008
Last updated May 8th, 2008 - about 16 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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