Bladt, Jessica J

Bladt, Jessica J is an individual health care provider with primary practice located at 1103 Ne Elm St , Prineville OR 97754-1664. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Bladt, Jessica J can be contacted via phone (541) 306-4566.

Contact Information

Primary practice address
1103 Ne Elm St Prineville OR 97754-1664
Phone: (541) 306-4566
Fax: (541) 320-9005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 21-CRM-778 Oregon

Profile Details

NPI number 1508525924
LBN Legal business name Bladt, Jessica J
Credentials CRM
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2021
Last updated Dec 13th, 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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