Blake, Melissa Beth

Blake, Melissa Beth is an individual health care provider with primary practice located at 2176 Salk Ave , Carlsbad CA 92008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Blake, Melissa Beth can be contacted via phone (760) 901-5100.

Contact Information

Primary practice address
2176 Salk Ave Carlsbad CA 92008
Phone: (760) 901-5100
Fax: (760) 827-7425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 53050 California

Profile Details

NPI number 1740655653
LBN Legal business name Blake, Melissa Beth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2015
Last updated Jul 6th, 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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