Segura, Blain
Segura, Blain is an individual health care provider with primary practice located at 1401 Reed Canal Rd Unit 1201 , Port Orange FL 32129-9415. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Segura, Blain can be contacted via phone (772) 233-5351.Contact Information
Primary practice address
1401 Reed Canal Rd Unit 1201
Port Orange FL 32129-9415
Phone: (772) 233-5351
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AL6648 |
Profile Details
| NPI number | 1598345597 |
|---|---|
| LBN Legal business name | Segura, Blain |
| Credentials | MAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2021 |
| Last updated | Jun 3rd, 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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