Blacklock, Diana Lee
Blacklock, Diana Lee is an individual health care provider with primary practice located at 2426 20Th St Se , Puyallup WA 98374-1475. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Blacklock, Diana Lee can be contacted via phone (253) 229-4272.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X |
Profile Details
| NPI number | 1912225822 |
|---|---|
| LBN Legal business name | Blacklock, Diana Lee |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2010 |
| Last updated | May 17th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912225822 | NPPES |
| Washington | Other | 60141204 | LICENSED MASSAGE THERAPISTS |
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