Blank, Marcia Smith
Blank, Marcia Smith is an sole proprietor health care provider with primary practice located at 1300 W 155Th St 107, Gardena CA 90247-4049. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Blank, Marcia Smith can be contacted via phone (310) 327-5001.Contact Information
Primary practice address
1300 W 155Th St 107
Gardena CA 90247-4049
Phone: (310) 327-5001
Fax: (310) 327-2349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | HA1505 | California |
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | AU751 | California |
Profile Details
| NPI number | 1962570051 |
|---|---|
| LBN Legal business name | Blank, Marcia Smith |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Sep 20th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962570051 | NPPES |
| Other | AU0007510 | BLUE SHIELD | |
| Other | AUD751B | BLUE SHIELD | |
| MEDICAID | HA0015051 | BLUE SHIELD | |
| MEDICAID | AU0007510 | BLUE SHIELD | |
| Other | AU0007511 | BLUE SHIELD | |
| Other | HA0015050 | BLUE SHIELD |
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