Blue Star, John Anthony

Blue Star, John Anthony is an individual health care provider with primary practice located at 1100 Wilford Hall Loop , Lackland Afb TX 78236-5638. He recently has only one registered license in Behavioral Health & Social Service Providers / Health, which is considered as his primary health care specialty. Blue Star, John Anthony can be contacted via phone (210) 292-7361.

Contact Information

Primary practice address
1100 Wilford Hall Loop Lackland Afb TX 78236-5638
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X 593 Wyoming

Profile Details

NPI number 1750708863
LBN Legal business name Blue Star, John Anthony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2014
Last updated Sep 13th, 2020 - about 4 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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