Blake, Christopher

Blake, Christopher is an individual health care provider with primary practice located at 2795 Pilot Knob Rd Suite #100, Eagan MN 55121-1119. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Blake, Christopher can be contacted via phone (651) 994-9644.

Contact Information

Primary practice address
2795 Pilot Knob Rd Suite #100 Eagan MN 55121-1119
Phone: (651) 994-9644
Fax: (651) 994-8962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6349 Minnesota

Profile Details

NPI number 1831238591
LBN Legal business name Blake, Christopher
Credentials MACCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Nov 30th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831238591 NPPES
Minnesota Other 962S9BL BCBS
Minnesota Other HP32576 BCBS
Minnesota Other 4600244 BCBS
Minnesota MEDICAID 442612600 BCBS

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