Bryant, Blake

Bryant, Blake is an individual health care provider with primary practice located at 1304 Cherry St , Van Buren AR 72956-4543. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Bryant, Blake can be contacted via phone (479) 310-9096.

Contact Information

Primary practice address
1304 Cherry St Van Buren AR 72956-4543
Phone: (479) 310-9096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X A2102206 Arkansas

Profile Details

NPI number 1306431515
LBN Legal business name Bryant, Blake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2021
Last updated Mar 9th, 2021 - 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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