Roylance, Blake Bert
Roylance, Blake Bert is an individual health care provider with primary practice located at 1342 S Pioneer Way , Moses Lake WA 98837-2410. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Roylance, Blake Bert can be contacted via phone (509) 855-6482.Contact Information
Primary practice address
1342 S Pioneer Way
Moses Lake WA 98837-2410
Phone: (509) 855-6482
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH61024794 | Washington |
Profile Details
| NPI number | 1558909440 |
|---|---|
| LBN Legal business name | Roylance, Blake Bert |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2019 |
| Last updated | Jul 15th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558909440 | NPPES |
| Washington | Other | CH61024794 | INSURANCE |
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