Blake, Traci Leigh
Blake, Traci Leigh is an individual health care provider with primary practice located at 1401 E State St , Rockford IL 61104-2315. She recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as her primary health care specialty. Blake, Traci Leigh can be contacted via phone (779) 696-7150.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse First Assistant | 163WR0006X | 041336983 | Illinois |
Profile Details
| NPI number | 1649543042 |
|---|---|
| LBN Legal business name | Blake, Traci Leigh |
| Credentials | BSN, RN, CNOR, RNFA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2012 |
| Last updated | Jun 29th, 2021 - about 5 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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