Haddon, Blake

Haddon, Blake is an individual health care provider with primary practice located at 113 Larsen Lane , Stroudsburg PA 18360-0113. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Haddon, Blake can be contacted via phone (570) 801-8240.

Contact Information

Primary practice address
113 Larsen Lane Stroudsburg PA 18360-0113
Phone: (570) 801-8240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 75-2575595 Pennsylvania

Profile Details

NPI number 1417406331
LBN Legal business name Haddon, Blake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2016
Last updated Oct 4th, 2016 - about 10 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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