Blaze, John Travis
Blaze, John Travis is an individual health care provider with primary practice located at 5396 Longhorn Trl , Gulf Breeze FL 32563-9353. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Blaze, John Travis can be contacted via phone (850) 270-7773.Contact Information
Primary practice address
5396 Longhorn Trl
Gulf Breeze FL 32563-9353
Phone: (850) 270-7773
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY9366 | Florida |
Profile Details
NPI number | 1144562695 |
---|---|
LBN Legal business name | Blaze, John Travis |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 22nd, 2013 |
Last updated | Aug 18th, 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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