Blake, Matthew

Blake, Matthew is an individual health care provider with primary practice located at 6100 S Louise Ave Ste 2100 , Sioux Falls SD 57108-6021. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Blake, Matthew can be contacted via phone (605) 504-1100.

Contact Information

Primary practice address
6100 S Louise Ave Ste 2100 Sioux Falls SD 57108-6021
Phone: (605) 504-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101252248 Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 49155 Kentucky
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 10419 South Dakota

Profile Details

NPI number 1730396904
LBN Legal business name Blake, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Oct 31st, 2019 - about 6 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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