Blue, Cleo Tyrone

Blue, Cleo Tyrone is an sole proprietor health care provider with primary practice located at 14 S Broadway , Baltimore MD 21231-1712. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Blue, Cleo Tyrone can be contacted via phone (410) 276-1773.

Contact Information

Primary practice address
14 S Broadway Baltimore MD 21231-1712
Phone: (410) 276-1773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X PR0859 Maryland

Profile Details

NPI number 1902675846
LBN Legal business name Blue, Cleo Tyrone
Credentials CPRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2023
Last updated Dec 20th, 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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