Wade-Blivens, Fontasia Monique
Wade-Blivens, Fontasia Monique is an individual health care provider with primary practice located at 820 Grimes Blvd , Lexington NC 27292-7640. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wade-Blivens, Fontasia Monique can be contacted via phone (336) 224-6071.Contact Information
Primary practice address
820 Grimes Blvd
Lexington NC 27292-7640
Phone: (336) 224-6071
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P012334 | North Carolina |
Profile Details
| NPI number | 1568940773 |
|---|---|
| LBN Legal business name | Wade-Blivens, Fontasia Monique |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2018 |
| Last updated | Jul 31st, 2018 - about 8 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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