Blake, Gerard Francis

Blake, Gerard Francis is an individual health care provider with primary practice located at 525 3Rd Ave , Chula Vista CA 91910-5616. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Blake, Gerard Francis can be contacted via phone (858) 499-2777.

Contact Information

Primary practice address
525 3Rd Ave Chula Vista CA 91910-5616
Phone: (858) 499-2777
Fax: (619) 585-4005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21229 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C53165 California

Profile Details

NPI number 1962481929
LBN Legal business name Blake, Gerard Francis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jun 14th, 2013 - about 12 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 1962481929 NPPES
South Carolina MEDICAID 212291

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