Blake, Julie E
Blake, Julie E is an individual health care provider with primary practice located at 179 Station Place Way , Hurricane WV 25526-8747. 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. Blake, Julie E can be contacted via phone (304) 760-6300.Contact Information
Primary practice address
179 Station Place Way
Hurricane WV 25526-8747
Phone: (304) 760-6300
Fax: (304) 201-5123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP-759 | West Virginia |
Profile Details
| NPI number | 1124180898 |
|---|---|
| LBN Legal business name | Blake, Julie E |
| Credentials | M.A. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jul 15th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124180898 | NPPES |
| West Virginia | Other | 31150445300 | WORKERS COMP |
| West Virginia | MEDICAID | 9400072-000 | WORKERS COMP |
| West Virginia | Other | 1712303 | WORKERS COMP |
| West Virginia | Other | 6147520 | WORKERS COMP |
| West Virginia | Other | 311504453 | WORKERS COMP |
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