Blakely, Michelle Marie

Blakely, Michelle Marie is an individual health care provider with primary practice located at 455 K St , Crescent City CA 95531-4107. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Blakely, Michelle Marie can be contacted via phone (707) 464-7224.

Contact Information

Primary practice address
455 K St Crescent City CA 95531-4107
Phone: (707) 464-7224
Fax: (707) 465-4272
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1457759938
LBN Legal business name Blakely, Michelle Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2014
Last updated Dec 15th, 2014 - about 12 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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