Blake, Lindsey Carlton

Blake, Lindsey Carlton is an individual health care provider with primary practice located at 3061 S Maryland Pkwy Suite 102, Las Vegas NV 89109-2298. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Blake, Lindsey Carlton can be contacted via phone (702) 731-2888.

Contact Information

Primary practice address
3061 S Maryland Pkwy Suite 102 Las Vegas NV 89109-2298
Phone: (702) 731-2888
Fax: (702) 696-9289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 7430 Nevada

Profile Details

NPI number 1720066921
LBN Legal business name Blake, Lindsey Carlton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jan 11th, 2013 - about 11 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 1720066921 NPPES
Other 300059138 RR MEDICARE
MEDICAID 200290205 RR MEDICARE
Other NV7305 RR MEDICARE

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