Ireland, Blake Vicent

Ireland, Blake Vicent is an individual health care provider with primary practice located at 158 Harmon Dr , Northfield VT 05663-1000. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Ireland, Blake Vicent can be contacted via phone (203) 565-1815.

Contact Information

Primary practice address
158 Harmon Dr Northfield VT 05663-1000
Phone: (203) 565-1815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1154844504
LBN Legal business name Ireland, Blake Vicent
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2017
Last updated Jul 18th, 2017 - about 8 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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