Blake-Mcmahon, Andrea Natalie

Blake-Mcmahon, Andrea Natalie is an sole proprietor health care provider with primary practice located at 129 Minden Shopping Dr , Minden LA 71055-2770. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Blake-Mcmahon, Andrea Natalie can be contacted via phone (318) 377-2007.

Contact Information

Primary practice address
129 Minden Shopping Dr Minden LA 71055-2770
Phone: (318) 377-2007
Fax: (318) 377-3099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 14851R Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14851R Louisiana

Profile Details

NPI number 1497710792
LBN Legal business name Blake-Mcmahon, Andrea Natalie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated May 6th, 2016 - about 8 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 1497710792 NPPES
Louisiana MEDICAID 1150185

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