Blakenship, De Etta Lynn

Blakenship, De Etta Lynn is an individual health care provider with primary practice located at 1315 13Th Ave Se , Decatur AL 35601-4308. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Blakenship, De Etta Lynn can be contacted via phone (256) 355-6105.

Contact Information

Primary practice address
1315 13Th Ave Se Decatur AL 35601-4308
Phone: (256) 355-6105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X CASE MANAGER

Profile Details

NPI number 1376731299
LBN Legal business name Blakenship, De Etta Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2007
Last updated Oct 4th, 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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