Andonian, Blake
Andonian, Blake is an sole proprietor health care provider with primary practice located at 3737 Lander Rd , Pepper Pike OH 44124-5712. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Andonian, Blake can be contacted via phone (216) 831-2255.Contact Information
Primary practice address
3737 Lander Rd
Pepper Pike OH 44124-5712
Phone: (216) 831-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Ohio |
Profile Details
| NPI number | 1255098190 |
|---|---|
| LBN Legal business name | Andonian, Blake |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2021 |
| Last updated | Nov 30th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255098190 | NPPES |
| Ohio | MEDICAID | 2871101 |
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