Blake, Marc B

Blake, Marc B is an individual health care provider with primary practice located at 2102 Macarthur Dr Ste C , Alexandria LA 71301-3763. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Blake, Marc B can be contacted via phone (866) 550-6849.

Contact Information

Primary practice address
2102 Macarthur Dr Ste C Alexandria LA 71301-3763
Phone: (866) 550-6849
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X

Profile Details

NPI number 1033876461
LBN Legal business name Blake, Marc B
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2021
Last updated Nov 19th, 2021 - about 4 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 1033876461 NPPES
Louisiana Other 007076923 DRIVERS LICENSE

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