Blake, Matthew

Blake, Matthew is an individual health care provider with primary practice located at 804 S Broadway St Ste 1 , Georgetown KY 40324-2304. 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, Matthew can be contacted via phone (502) 642-4800.

Contact Information

Primary practice address
804 S Broadway St Ste 1 Georgetown KY 40324-2304
Phone: (502) 642-4800
Fax: (513) 332-9072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 243740 Kentucky

Profile Details

NPI number 1811530017
LBN Legal business name Blake, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2019
Last updated Oct 21st, 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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