Blockson, Samuel Jesse

Blockson, Samuel Jesse is an sole proprietor health care provider with primary practice located at 6419 W 87Th St , Oak Lawn IL 60453-1048. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Blockson, Samuel Jesse can be contacted via phone (708) 634-0821.

Contact Information

Primary practice address
6419 W 87Th St Oak Lawn IL 60453-1048
Phone: (708) 634-0821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1184396103
LBN Legal business name Blockson, Samuel Jesse
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2021
Last updated Sep 28th, 2021 - 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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