Blake, Jacquelyn
Blake, Jacquelyn is an sole proprietor health care provider with primary practice located at 1301 National Hwy , Thomasville NC 27360-2317. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Blake, Jacquelyn can be contacted via phone (336) 472-8230.Contact Information
Primary practice address
1301 National Hwy
Thomasville NC 27360-2317
Phone: (336) 472-8230
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1285355453 |
|---|---|
| LBN Legal business name | Blake, Jacquelyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2022 |
| Last updated | Sep 7th, 2022 - about 3 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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