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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 18 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 1962529099 NPPES
North Carolina Other 23830 STATE MEDICAL LICENSE

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