Hines, Blake Harrison

Hines, Blake Harrison is an sole proprietor health care provider with primary practice located at 214 Meadowlands Dr , Brandon MS 39047-9070. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Hines, Blake Harrison can be contacted via phone (601) 760-2139.

Contact Information

Primary practice address
214 Meadowlands Dr Brandon MS 39047-9070
Phone: (601) 760-2139
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT0524 Mississippi

Profile Details

NPI number 1821486218
LBN Legal business name Hines, Blake Harrison
Credentials ATC, NASM-PES, MA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2015
Last updated Jan 7th, 2015 - about 10 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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