Blackburn, Angelique

Blackburn, Angelique is an sole proprietor health care provider with primary practice located at 2470 Aladdin Lamp St , Henderson NV 89002-9375. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Blackburn, Angelique can be contacted via phone (702) 439-1677.

Contact Information

Primary practice address
2470 Aladdin Lamp St Henderson NV 89002-9375
Phone: (702) 439-1677
Fax: (702) 430-8288
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1053692723
LBN Legal business name Blackburn, Angelique
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2011
Last updated Sep 7th, 2011 - about 15 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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