Blaze, Courtney M
Blaze, Courtney M is an sole proprietor health care provider with primary practice located at 229 Red Coach Dr Ste 106 , Mishawaka IN 46545-3195. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Blaze, Courtney M can be contacted via phone (574) 318-7800.Contact Information
Primary practice address
229 Red Coach Dr Ste 106
Mishawaka IN 46545-3195
Phone: (574) 318-7800
Fax: (574) 318-7839
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT22207831 | Indiana |
Profile Details
NPI number | 1639884422 |
---|---|
LBN Legal business name | Blaze, Courtney M |
Credentials | CMT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 17th, 2023 |
Last updated | Jan 17th, 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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