Blake, Hu Al
Blake, Hu Al is an individual health care provider with primary practice located at 199 S Candy Ln Suite 1A, Cottonwood AZ 86326-4183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Blake, Hu Al can be contacted via phone (928) 649-7969.Contact Information
Primary practice address
199 S Candy Ln Suite 1A
Cottonwood AZ 86326-4183
Phone: (928) 649-7969
Fax: (928) 634-7921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 29975 | Arizona |
Profile Details
| NPI number | 1326000894 |
|---|---|
| LBN Legal business name | Blake, Hu Al |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Mar 14th, 2017 - about 8 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 | 1326000894 | NPPES |
| Arizona | MEDICAID | 636128 |
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