Blake, David M
Blake, David M is an individual health care provider with primary practice located at 1221 S Broadway # D302 , Lexington KY 40504-2701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Blake, David M can be contacted via phone (859) 260-1273.Contact Information
Primary practice address
1221 S Broadway # D302
Lexington KY 40504-2701
Phone: (859) 260-1273
Fax: (859) 260-7719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 24357 | Kentucky |
Profile Details
| NPI number | 1295837094 |
|---|---|
| LBN Legal business name | Blake, David M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Sep 3rd, 2019 - about 5 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 | 1295837094 | NPPES |
| Kentucky | MEDICAID | 64243579 |
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