Horn-Blake, Misty Rene'
Horn-Blake, Misty Rene' is an sole proprietor health care provider with primary practice located at 1301 Sunset Dr Suite 6, Johnson City TN 37604-7906. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Horn-Blake, Misty Rene' can be contacted via phone (423) 283-8830.Contact Information
Primary practice address
1301 Sunset Dr Suite 6
Johnson City TN 37604-7906
Phone: (423) 283-8830
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 8728 | Tennessee |
Profile Details
| NPI number | 1316147721 |
|---|---|
| LBN Legal business name | Horn-Blake, Misty Rene' |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2007 |
| Last updated | Jan 9th, 2008 - about 18 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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