Tanner, William Blake
Tanner, William Blake is an sole proprietor health care provider with primary practice located at 1110 Call Creek Dr Suite 4B, Pocatello ID 83201-3001. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Tanner, William Blake can be contacted via phone (208) 233-4660.Contact Information
Primary practice address
1110 Call Creek Dr Suite 4B
Pocatello ID 83201-3001
Phone: (208) 233-4660
Fax: (208) 233-4262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | TSLP-2448 | Idaho |
Profile Details
| NPI number | 1659707529 |
|---|---|
| LBN Legal business name | Tanner, William Blake |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2013 |
| Last updated | Sep 23rd, 2013 - about 13 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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