Blodgett, Marissa

Blodgett, Marissa is an individual health care provider with primary practice located at 7040 Laredo St Ste K , Las Vegas NV 89117-3044. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Blodgett, Marissa can be contacted via phone (702) 331-4874.

Contact Information

Primary practice address
7040 Laredo St Ste K Las Vegas NV 89117-3044
Phone: (702) 331-4874
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X Nevada
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1699279216
LBN Legal business name Blodgett, Marissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2018
Last updated Mar 16th, 2022 - about 3 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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