Averill, Blake Edward

Averill, Blake Edward is an individual health care provider with primary practice located at 1703 W Stones Crossing Rd Ste 210 , Greenwood IN 46143-8558. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Averill, Blake Edward can be contacted via phone (317) 781-1133.

Contact Information

Primary practice address
1703 W Stones Crossing Rd Ste 210 Greenwood IN 46143-8558
Phone: (317) 781-1133
Fax: (317) 837-4640
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01082209A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 01082209A Indiana

Profile Details

NPI number 1750819165
LBN Legal business name Averill, Blake Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2017
Last updated Mar 27th, 2024 - about last year

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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