Thornton, Leilani Blackwell

Thornton, Leilani Blackwell is an sole proprietor health care provider with primary practice located at 149 Twin Lake Rd , Gaffney SC 29341-2538. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Thornton, Leilani Blackwell can be contacted via phone (864) 206-2000.

Contact Information

Primary practice address
149 Twin Lake Rd Gaffney SC 29341-2538
Phone: (864) 206-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 68617 South Carolina
Nursing Service Providers / School 163WS0200X 61617 South Carolina

Profile Details

NPI number 1114575339
LBN Legal business name Thornton, Leilani Blackwell
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2019
Last updated Aug 30th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114575339 NPPES
South Carolina MEDICAID 68617

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