Blake, Daniel
Blake, Daniel is an individual health care provider with primary practice located at 201 Tabernacle Rd , Black Mountain NC 28711-2526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Blake, Daniel can be contacted via phone (828) 669-3480.Contact Information
Primary practice address
201 Tabernacle Rd
Black Mountain NC 28711-2526
Phone: (828) 669-3480
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 23830 | North Carolina |
Profile Details
NPI number | 1962529099 |
---|---|
LBN Legal business name | Blake, Daniel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2007 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962529099 | NPPES |
North Carolina | Other | 23830 | STATE MEDICAL LICENSE |
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