Frederick, Collin Blake
Frederick, Collin Blake is an individual health care provider with primary practice located at 3005 Sardis Rd , Gainesville GA 30506-2232. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Frederick, Collin Blake can be contacted via phone (912) 294-7908.Contact Information
Primary practice address
3005 Sardis Rd
Gainesville GA 30506-2232
Phone: (912) 294-7908
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT003432 | Georgia |
Profile Details
| NPI number | 1770050536 |
|---|---|
| LBN Legal business name | Frederick, Collin Blake |
| Credentials | LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2018 |
| Last updated | Oct 30th, 2018 - about 8 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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