Bledsoe, Jillyan
Bledsoe, Jillyan is an individual health care provider with primary practice located at 3401 45Th St S , Fargo ND 58104-8970. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bledsoe, Jillyan can be contacted via phone (701) 356-4384.Contact Information
Primary practice address
3401 45Th St S
Fargo ND 58104-8970
Phone: (701) 356-4384
Fax: (701) 356-4384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-21-180838 |
Profile Details
| NPI number | 1043888449 |
|---|---|
| LBN Legal business name | Bledsoe, Jillyan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2021 |
| Last updated | Nov 10th, 2021 - about 5 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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