Mulder, Blakely Elizabeth
Mulder, Blakely Elizabeth is an individual health care provider with primary practice located at 5842 Fayetteville Rd Ste 106 , Durham NC 27713-6294. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Mulder, Blakely Elizabeth can be contacted via phone (919) 572-0000.Contact Information
Primary practice address
5842 Fayetteville Rd Ste 106
Durham NC 27713-6294
Phone: (919) 572-0000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 1236076 | North Carolina |
Profile Details
| NPI number | 1629698683 |
|---|---|
| LBN Legal business name | Mulder, Blakely Elizabeth |
| Credentials | MA, AGS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2020 |
| Last updated | Apr 20th, 2020 - about 6 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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