Blevins, Aliezah

Blevins, Aliezah is an individual health care provider with primary practice located at 2018 Western Ave , Knoxville TN 37921-5718. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Pathology, which is considered as her primary health care specialty. Blevins, Aliezah can be contacted via phone (865) 544-0406.

Contact Information

Primary practice address
2018 Western Ave Knoxville TN 37921-5718
Phone: (865) 544-0406
Fax: (865) 544-0480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Pathology 246R00000X

Profile Details

NPI number 1174161350
LBN Legal business name Blevins, Aliezah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2019
Last updated Feb 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174161350 NPPES
Tennessee MEDICAID 15105118
Tennessee MEDICAID ZECM15105118

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