Terry Blaylock in Milwaukee - Community Health Worker
Terry Blaylock - NPI 1710154836
Terry Blaylock is a Community Health Worker in Milwaukee, Wisconsin. Terry Blaylock practices all healthcare services and medical treatments related to Community Health Worker. The NPI Number for Terry Blaylock is 1710154836. The last update date is 2008-05-08.
Terry Blaylock's current location address is 3238 N 2nd St, Milwaukee, Wisconsin. You can contact this provider via phone number 4147312616. The mailing address for Terry Blaylock is 3238 N 2nd St, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Blaylock |
|---|---|
| Address | 3238 N 2nd St, Milwaukee, Wisconsin |
| Phone Number | 4147312616 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PTA1 |
NPI Number Detail
| NPI Number | 1710154836 |
|---|---|
| Provider Enumeration Date | 2008-05-08 |
| Last Updated Date | 2008-05-08 |
Provider Mailing Address Detail
| Address | 3238 N 2nd St |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532122021 |
| Phone Number | 4147312616 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Health Worker |
|---|---|
| Taxonomy | 172V00000X |
| Licence No | 1068-019 |
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Definition: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status a |
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What is the unique provider identifier assigned to Terry Blaylock?
The Terry Blaylock has been issued the NPI (National Provider Identifier) 1710154836 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Terry Blaylock's facilities are geographically located?
The facilities of Terry Blaylock are physically situated at the following location: 3238 N 2Nd St, Milwaukee, WI, 532122021.
What is Terry Blaylock's area of expertise and its corresponding taxonomy classification?
The Terry Blaylock's field of specialization is Community Health Worker, and it falls under the taxonomy code 172V00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1710154836 to Terry Blaylock?
The Terry Blaylock received its 1710154836 assignment from the Centers for Medicare & Medicaid Services on 2008-05-08.
When was the Terry Blaylock's information last updated?
The Terry Blaylock's information was last updated on 2008-05-08.
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