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
Phone: (210) 292-7361
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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