Blake, Jerome M

Blake, Jerome M is an individual health care provider with primary practice located at 1600 W 22Nd St , Sioux Falls SD 57105-1521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as his primary health care specialty. Blake, Jerome M can be contacted via phone (605) 312-1000.

Contact Information

Primary practice address
1600 W 22Nd St Sioux Falls SD 57105-1521
Phone: (605) 312-1000
Fax: (605) 312-1001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 2228 South Dakota

Profile Details

NPI number 1699760546
LBN Legal business name Blake, Jerome M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Mar 13th, 2015 - about 10 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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