Blagg, Sarah Ellen

Blagg, Sarah Ellen is an individual health care provider with primary practice located at 2203 Russell Ln , Mountain Home AR 72653-9250. 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. Blagg, Sarah Ellen can be contacted via phone (870) 404-5870.

Contact Information

Primary practice address
2203 Russell Ln Mountain Home AR 72653-9250
Phone: (870) 404-5870
Fax: (870) 430-5934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2269 Arkansas

Profile Details

NPI number 1114125705
LBN Legal business name Blagg, Sarah Ellen
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated Aug 17th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114125705 NPPES
Arkansas Other 5Y010 ARKANSAS BLUE CROSS AND BLUE SHIELD
Arkansas MEDICAID 154456721 ARKANSAS BLUE CROSS AND BLUE SHIELD

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