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
Phone: (251) 591-4740
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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