Anderson, Blake

Anderson, Blake is an individual health care provider with primary practice located at 2300 53Rd Ave Ste Ll02 , Bettendorf IA 52722-7565. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Anderson, Blake can be contacted via phone (563) 449-7000.

Contact Information

Primary practice address
2300 53Rd Ave Ste Ll02 Bettendorf IA 52722-7565
Phone: (563) 449-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1619535556
LBN Legal business name Anderson, Blake
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2019
Last updated Jun 5th, 2019 - about 5 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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