| Specialty | Taxonomy Code | |
|---|---|---|
| * | Phlebotomy | 246RP1900X |
| Home Health Aide | 374U00000X | |
| Medical Laboratory | 246RM2200X | |
| Occupational Medicine | 261QX0100X | |
| Public Health or Welfare | 251K00000X | |
| Technician | 374700000X |
* Indicates primary specialty
| NPI Number | 1861058638 |
| Credentials | LICENSED PHLEBOTOMIS |
| Entity | Individual |
| Enumeration date | 05/16/2019 |
| Last updated | 10/01/2025 - About 8 months ago |
| Sole proprietor1 | Yes |
| Identifiers |
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| 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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