National Provider Identifier Database

HANNAH BLAYLOCK
Family


Contact Information

HANNAH BLAYLOCK
1014 HARKRIDER ST
SUITE B
CONWAY, AR72032-4404
Phone: 501-327-7100
Fax: 501-328-7121
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for HANNAH BLAYLOCK

NPI Number 1518335587
Credentials
Entity Individual
Enumeration date 09/09/2015
Last updated 02/13/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • AR License #: A004516
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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