Blazkiewicz, Amanda Michelle
Blazkiewicz, Amanda Michelle is an individual health care provider with primary practice located at 1200 W Tabor Rd , Philadelphia PA 19141-3019. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Blazkiewicz, Amanda Michelle can be contacted via phone (215) 456-9850.Contact Information
Primary practice address
1200 W Tabor Rd
Philadelphia PA 19141-3019
Phone: (215) 456-9850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1366964447 |
|---|---|
| LBN Legal business name | Blazkiewicz, Amanda Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2017 |
| Last updated | Jul 13th, 2022 - about 4 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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