Bazel, Blake
Bazel, Blake is an sole proprietor health care provider with primary practice located at 1677 Wells Rd Suite A, Orange Park FL 32073-6799. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bazel, Blake can be contacted via phone (904) 272-0043.Contact Information
Primary practice address
1677 Wells Rd Suite A
Orange Park FL 32073-6799
Phone: (904) 272-0043
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY8593 | Florida |
Profile Details
| NPI number | 1487904744 |
|---|---|
| LBN Legal business name | Bazel, Blake |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2012 |
| Last updated | Feb 26th, 2013 - about 12 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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