Blake, Jackie

Blake, Jackie is an individual health care provider with primary practice located at 1 Community St , Wheeling WV 26003-5201. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Blake, Jackie can be contacted via phone (304) 242-3933.

Contact Information

Primary practice address
1 Community St Wheeling WV 26003-5201
Phone: (304) 242-3933
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 001182 West Virginia

Profile Details

NPI number 1225537269
LBN Legal business name Blake, Jackie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2018
Last updated Feb 5th, 2018 - about 7 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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