Shawn Thornton Blakley in Green Bay - Professional
Shawn Thornton Blakley - NPI 1417022468
Shawn Thornton Blakley is a Professional in Green Bay, Wisconsin. Shawn Thornton Blakley practices all healthcare services and medical treatments related to Professional. The NPI Number for Shawn Thornton Blakley is 1417022468. The last update date is 2007-07-08.
Shawn Thornton Blakley's current location address is 130 E Walnut St, Green Bay, Wisconsin. You can contact this provider via phone number 9204378256 and fax number 9204371188. The mailing address for Shawn Thornton Blakley is 130 E Walnut St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawn Thornton Blakley |
|---|---|
| Address | 130 E Walnut St, Green Bay, Wisconsin |
| Phone Number | 9204378256 |
| Fax Number | 9204371188 |
| Sole Proprietor | N |
| Credentials | MSE, CADCI |
NPI Number Detail
| NPI Number | 1417022468 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 130 E Walnut St |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543014239 |
| Phone Number | 9204378256 |
| Fax Number | 9204371188 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 792-125 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39626900 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shawn Thornton Blakley?
The Shawn Thornton Blakley has been issued the NPI (National Provider Identifier) 1417022468 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Shawn Thornton Blakley's physical address?
The Shawn Thornton Blakley is physically located at 130 E Walnut St, in the city of Green Bay, WI, with the postal code 543014239.
What is Shawn Thornton Blakley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shawn Thornton Blakley's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417022468 to Shawn Thornton Blakley?
The Centers for Medicare & Medicaid Services assigned the 1417022468 to Shawn Thornton Blakley on 2006-11-22.
As of what date were the Shawn Thornton Blakley's details last updated?
The information pertaining to the Shawn Thornton Blakley, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY