Blaylock, Chanel
Blaylock, Chanel is an individual health care provider with primary practice located at 4058 Minnesota Ave Ne , Washington DC 20019-3540. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Blaylock, Chanel can be contacted via phone (919) 524-9118.Contact Information
Primary practice address
4058 Minnesota Ave Ne
Washington DC 20019-3540
Phone: (919) 524-9118
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP001062 | District of Columbia |
Profile Details
| NPI number | 1326556325 |
|---|---|
| LBN Legal business name | Blaylock, Chanel |
| Credentials | MS CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2018 |
| Last updated | Jan 12th, 2018 - about 8 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 | 1326556325 | NPPES |
| District of Columbia | MEDICAID | 53-6001131 |
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