Exilus, Bleck

Exilus, Bleck is an sole proprietor health care provider with primary practice located at 14-20 Macdade Blvd Ste A , Darby PA 19023-1822. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Exilus, Bleck can be contacted via phone (610) 522-4506.

Contact Information

Primary practice address
14-20 Macdade Blvd Ste A Darby PA 19023-1822
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SP031538 Pennsylvania

Profile Details

NPI number 1134935273
LBN Legal business name Exilus, Bleck
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2024
Last updated Dec 4th, 2024 - about 2 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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