Blake, Geoffrey

Blake, Geoffrey is an individual health care provider with primary practice located at 24682 Chantilly Ln , Daphne AL 36526-8730. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Blake, Geoffrey can be contacted via phone (251) 591-4740.

Contact Information

Primary practice address
24682 Chantilly Ln Daphne AL 36526-8730
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 17802 Alabama

Profile Details

NPI number 1730710591
LBN Legal business name Blake, Geoffrey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2020
Last updated Jan 30th, 2020 - 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.

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