Blazer, Sheila Marie
Blazer, Sheila Marie is an sole proprietor health care provider with primary practice located at 600 North Preston Street Ranson Elementary School, Ranson WV 25438. 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. Blazer, Sheila Marie can be contacted via phone (304) 725-7310.Contact Information
Primary practice address
600 North Preston Street Ranson Elementary School
Ranson WV 25438
Phone: (304) 725-7310
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 4853 |
Profile Details
| NPI number | 1770768020 |
|---|---|
| LBN Legal business name | Blazer, Sheila Marie |
| Credentials | MS CCCSLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 7th, 2008 |
| Last updated | Jan 7th, 2008 - about 18 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 | 1770768020 | NPPES |
| West Virginia | MEDICAID | 3810005072 |
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