Blakely, Gail Joan

Blakely, Gail Joan is an individual health care provider with primary practice located at 50 Aldrin Rd , Plymouth MA 02360. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Blakely, Gail Joan can be contacted via phone (508) 830-0004.

Contact Information

Primary practice address
50 Aldrin Rd Plymouth MA 02360
Fax: (508) 830-0295
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1008 Massachusetts

Profile Details

NPI number 1871652818
LBN Legal business name Blakely, Gail Joan
Credentials LADC 1
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871652818 NPPES
Massachusetts Other 1008 LICENSE NUMBER

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