Blake, Charles Edward

Blake, Charles Edward is an individual health care provider with primary practice located at 17215 N 72Nd Dr Bldg D , Glendale AZ 85308-8558. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Blake, Charles Edward can be contacted via phone (480) 214-9000.

Contact Information

Primary practice address
17215 N 72Nd Dr Bldg D Glendale AZ 85308-8558
Phone: (480) 214-9000
Fax: (480) 214-9999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP2395 Arizona

Profile Details

NPI number 1972666154
LBN Legal business name Blake, Charles Edward
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated May 9th, 2024 - about 7 months 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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