Blacka, Susan Raye
Blacka, Susan Raye is an individual health care provider with primary practice located at 12913 Jordan Run Rd , Maysville WV 26833-8509. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Blacka, Susan Raye can be contacted via phone (304) 749-7986.Contact Information
Primary practice address
12913 Jordan Run Rd
Maysville WV 26833-8509
Phone: (304) 749-7986
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1710597810 |
|---|---|
| LBN Legal business name | Blacka, Susan Raye |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2020 |
| Last updated | Jul 8th, 2021 - about 5 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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