Blakelock, Harold Herbert

Blakelock, Harold Herbert is an sole proprietor health care provider with primary practice located at 1836 N 1120 W # 2 , Provo UT 84604-1179. He recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as his primary health care specialty. Blakelock, Harold Herbert can be contacted via phone (801) 722-8362.

Contact Information

Primary practice address
1836 N 1120 W # 2 Provo UT 84604-1179
Phone: (801) 722-8362
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X 114279-2501 Utah

Profile Details

NPI number 1518214899
LBN Legal business name Blakelock, Harold Herbert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2012
Last updated Aug 6th, 2012 - about 14 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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