Blockmon, Lanisha

Blockmon, Lanisha is an sole proprietor health care provider with primary practice located at 8214 S Evans Ave , Chicago IL 60619-5306. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Blockmon, Lanisha can be contacted via phone (773) 853-6694.

Contact Information

Primary practice address
8214 S Evans Ave Chicago IL 60619-5306
Phone: (773) 853-6694
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1710482542
LBN Legal business name Blockmon, Lanisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2018
Last updated Nov 13th, 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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