Thornton, Blakely Nelson
Thornton, Blakely Nelson is an individual health care provider with primary practice located at 2121 Line Ave , Shreveport LA 71104-2126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Thornton, Blakely Nelson can be contacted via phone (318) 226-9441.Contact Information
Primary practice address
2121 Line Ave
Shreveport LA 71104-2126
Phone: (318) 226-9441
Fax: (318) 425-3236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 207985 | Louisiana |
Profile Details
| NPI number | 1225271513 |
|---|---|
| LBN Legal business name | Thornton, Blakely Nelson |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2009 |
| Last updated | Jun 22nd, 2015 - about 11 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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