Blake, John Everett

Blake, John Everett is an individual health care provider with primary practice located at 281 N. Lyerly St. Suite 200, Chattanooga TN 37404. 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, John Everett can be contacted via phone (423) 698-0850.

Contact Information

Primary practice address
281 N. Lyerly St. Suite 200 Chattanooga TN 37404
Phone: (423) 698-0850
Fax: (423) 698-0511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 26794 Alabama
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD44681 Tennessee
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD26794 Alabama

Profile Details

NPI number 1629290689
LBN Legal business name Blake, John Everett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Mar 28th, 2017 - about 7 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 1629290689 NPPES
Tennessee MEDICAID 1514244

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