Blake, Matthew Alexander
Blake, Matthew Alexander is an individual health care provider with primary practice located at 1336 Brunner St Apt H , San Diego CA 92110-1690. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Blake, Matthew Alexander can be contacted via phone (931) 865-6165.Contact Information
Primary practice address
1336 Brunner St Apt H
San Diego CA 92110-1690
Phone: (931) 865-6165
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1699278952 |
|---|---|
| LBN Legal business name | Blake, Matthew Alexander |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2018 |
| Last updated | Mar 13th, 2018 - 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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