Blake, Keith
Blake, Keith is an individual health care provider with primary practice located at 725 Highland Ave , Winston Salem NC 27101-4206. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Blake, Keith can be contacted via phone (336) 607-8523.Contact Information
Primary practice address
725 Highland Ave
Winston Salem NC 27101-4206
Phone: (336) 607-8523
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1821283417 |
|---|---|
| LBN Legal business name | Blake, Keith |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2007 |
| Last updated | Sep 7th, 2007 - about 18 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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