Blake, Heather M
Blake, Heather M is an sole proprietor health care provider with primary practice located at 18101 Oakwood Blvd , Dearborn MI 48124-4089. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Blake, Heather M can be contacted via phone (313) 593-7435.Contact Information
Primary practice address
18101 Oakwood Blvd
Dearborn MI 48124-4089
Phone: (313) 593-7435
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 4704300929 | Michigan |
Profile Details
| NPI number | 1205617164 |
|---|---|
| LBN Legal business name | Blake, Heather M |
| Credentials | NNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2023 |
| Last updated | Oct 6th, 2023 - about last year |
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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