Blake, Judith Elise
Blake, Judith Elise is an individual health care provider with primary practice located at 1505 Daphne Ave , Daphne AL 36526-4298. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Blake, Judith Elise can be contacted via phone (251) 625-2663.Contact Information
Primary practice address
1505 Daphne Ave
Daphne AL 36526-4298
Phone: (251) 625-2663
Fax: (251) 625-3198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA.1207 | Alabama |
Profile Details
| NPI number | 1942749965 |
|---|---|
| LBN Legal business name | Blake, Judith Elise |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2017 |
| Last updated | Oct 16th, 2023 - about 3 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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