Blake, Michael John

Blake, Michael John is an individual health care provider with primary practice located at 410 W 10Th Ave , Columbus OH 43210-1240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Blake, Michael John can be contacted via phone (614) 293-8487.

Contact Information

Primary practice address
410 W 10Th Ave Columbus OH 43210-1240
Phone: (614) 293-8487
Fax: (614) 293-8153
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35.053889 Ohio
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 35-053889 Ohio

Profile Details

NPI number 1265411896
LBN Legal business name Blake, Michael John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Oct 25th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265411896 NPPES
Ohio Other 10826581 CAQH
Ohio MEDICAID 2016437 CAQH

Popular Providers