Ardrey, Blake Alan

Ardrey, Blake Alan is an individual health care provider with primary practice located at 325 S Ash St , Nowata OK 74048-4628. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Ardrey, Blake Alan can be contacted via phone (918) 706-6529.

Contact Information

Primary practice address
325 S Ash St Nowata OK 74048-4628
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1649948415
LBN Legal business name Ardrey, Blake Alan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2021
Last updated Sep 5th, 2021 - about 4 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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