Blake, Leah Janine

Blake, Leah Janine is an individual health care provider with primary practice located at 9850 W St Lukes Dr , Nampa ID 83687-7912. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Blake, Leah Janine can be contacted via phone (208) 205-7282.

Contact Information

Primary practice address
9850 W St Lukes Dr Nampa ID 83687-7912
Phone: (208) 205-7282
Fax: (208) 205-7591
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 100092 Montana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X CDRH.0062081 Colorado
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X OC-0451 Idaho

Profile Details

NPI number 1558757724
LBN Legal business name Blake, Leah Janine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2015
Last updated May 8th, 2024 - about 7 months 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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