Buchanan, Blake Ashley Lewis

Buchanan, Blake Ashley Lewis is an individual health care provider with primary practice located at 2995 Warrior Ln , Poplar Bluff MO 63901-8600. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Buchanan, Blake Ashley Lewis can be contacted via phone (573) 712-2902.

Contact Information

Primary practice address
2995 Warrior Ln Poplar Bluff MO 63901-8600
Phone: (573) 712-2902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1144991472
LBN Legal business name Buchanan, Blake Ashley Lewis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2021
Last updated Sep 27th, 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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