Blake, Rose Ann
Blake, Rose Ann is an individual health care provider with primary practice located at 87 Swierkos Dr , Moundsville WV 26041-4209. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Blake, Rose Ann can be contacted via phone (304) 843-0910.Contact Information
Primary practice address
87 Swierkos Dr
Moundsville WV 26041-4209
Phone: (304) 843-0910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | West Virginia |
Profile Details
| NPI number | 1548874829 |
|---|---|
| LBN Legal business name | Blake, Rose Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2020 |
| Last updated | Sep 3rd, 2020 - about 6 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 | 1548874829 | NPPES |
| West Virginia | MEDICAID | 1255523494 | |
| West Virginia | MEDICAID | 1821206228 |
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