Blackburn, Leigh
Blackburn, Leigh is an sole proprietor health care provider with primary practice located at 601 N Belair Sq Ste 19 , Evans GA 30809-4324. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Blackburn, Leigh can be contacted via phone (706) 364-1486.Contact Information
Primary practice address
601 N Belair Sq Ste 19
Evans GA 30809-4324
Phone: (706) 364-1486
Fax: (706) 364-1487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP006107 | Georgia |
Profile Details
| NPI number | 1477617132 |
|---|---|
| LBN Legal business name | Blackburn, Leigh |
| Credentials | M.ED., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Oct 16th, 2008 - about 18 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 | 1477617132 | NPPES |
| Georgia | MEDICAID | 238975068A |
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