Blake, Michael C.

Blake, Michael C. is an individual health care provider with primary practice located at 2018 W Clinch Ave , Knoxville TN 37916-2301. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Blake, Michael C. can be contacted via phone (865) 541-8000.

Contact Information

Primary practice address
2018 W Clinch Ave Knoxville TN 37916-2301
Phone: (865) 541-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD29085 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD29085 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 29085 Tennessee
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 29085 Tennessee

Profile Details

NPI number 1457394736
LBN Legal business name Blake, Michael C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 10th, 2015 - about 9 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 1457394736 NPPES
Tennessee MEDICAID 3897731
Tennessee MEDICAID 64712771
Tennessee Other 3124793

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