Blake, Jacob L

Blake, Jacob L is an individual health care provider with primary practice located at 5590 Kietzke Ln , Reno NV 89511-3019. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Blake, Jacob L can be contacted via phone (775) 323-2080.

Contact Information

Primary practice address
5590 Kietzke Ln Reno NV 89511-3019
Phone: (775) 323-2080
Fax: (775) 683-9404
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 14407 Nevada
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A95206 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD60071790 Washington
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A95206 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD60071790 Washington
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 14407 Nevada

Profile Details

NPI number 1154486769
LBN Legal business name Blake, Jacob L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jan 29th, 2019 - about 6 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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