Beck, Blake J.
Beck, Blake J. is an individual health care provider with primary practice located at 510 8Th Ave Ne Ste 310 , Issaquah WA 98029-5436. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Beck, Blake J. can be contacted via phone (425) 462-5006.Contact Information
Primary practice address
510 8Th Ave Ne Ste 310
Issaquah WA 98029-5436
Phone: (425) 462-5006
Fax: (425) 462-5019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA56794 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA61261831 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA61261831 | Washington |
Profile Details
| NPI number | 1104483783 |
|---|---|
| LBN Legal business name | Beck, Blake J. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2019 |
| Last updated | Mar 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104483783 | NPPES |
| Washington | MEDICAID | 2212954 |
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