Blake, Alexander Daniel

Blake, Alexander Daniel is an individual health care provider with primary practice located at 4076 Neely Rd Rm 3C-404, Ft. Wainwright AK 99703-7440. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Blake, Alexander Daniel can be contacted via phone (907) 361-6028.

Contact Information

Primary practice address
4076 Neely Rd Rm 3C-404 Ft. Wainwright AK 99703-7440
Phone: (907) 361-6028
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1104532795
LBN Legal business name Blake, Alexander Daniel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2023
Last updated Oct 13th, 2023 - about 2 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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