Blaylock, Justin

Blaylock, Justin is an individual health care provider with primary practice located at 900 W Choctaw Ave , Chickasha OK 73018-2213. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Blaylock, Justin can be contacted via phone (405) 222-6500.

Contact Information

Primary practice address
900 W Choctaw Ave Chickasha OK 73018-2213
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1033664859
LBN Legal business name Blaylock, Justin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2016
Last updated Aug 22nd, 2016 - about 9 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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