Blanding, Jervis
Blanding, Jervis is an individual health care provider with primary practice located at 3830 Washington Rd , Martinez GA 30907-5064. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Blanding, Jervis can be contacted via phone (762) 222-7629.Contact Information
Primary practice address
3830 Washington Rd
Martinez GA 30907-5064
Phone: (762) 222-7629
Fax: (615) 577-5654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1902430325 |
|---|---|
| LBN Legal business name | Blanding, Jervis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2020 |
| Last updated | Feb 25th, 2020 - 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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