Blake, Alice P
Blake, Alice P is an individual health care provider with primary practice located at 222 N 2Nd St Ste 304 , Boise ID 83702-6131. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Blake, Alice P can be contacted via phone (208) 342-7722.Contact Information
Primary practice address
222 N 2Nd St Ste 304
Boise ID 83702-6131
Phone: (208) 342-7722
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M5730 | Idaho |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | M-5730 | Idaho |
Profile Details
| NPI number | 1508805078 |
|---|---|
| LBN Legal business name | Blake, Alice P |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jun 10th, 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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