Blanco, Audy Emilio

Blanco, Audy Emilio is an sole proprietor health care provider with primary practice located at 4110 Debarr Rd Spc H20 , Anchorage AK 99508-3179. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Blanco, Audy Emilio can be contacted via phone (907) 268-0825.

Contact Information

Primary practice address
4110 Debarr Rd Spc H20 Anchorage AK 99508-3179
Fax: (907) 644-3072
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 1111787 Alaska

Profile Details

NPI number 1083178867
LBN Legal business name Blanco, Audy Emilio
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2019
Last updated Jan 25th, 2019 - about 6 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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