Blake, Samantha Dawn
Blake, Samantha Dawn is an individual health care provider with primary practice located at 1 Halloran Park Ln , Saint Clairsville OH 43950-1367. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Blake, Samantha Dawn can be contacted via phone (740) 296-5734.Contact Information
Primary practice address
1 Halloran Park Ln
Saint Clairsville OH 43950-1367
Phone: (740) 296-5734
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1275091852 |
|---|---|
| LBN Legal business name | Blake, Samantha Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2019 |
| Last updated | Mar 4th, 2019 - 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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