Blake, Michael Todd
Blake, Michael Todd is an individual health care provider with primary practice located at 250 Hospital Place Central Peninsula Hospital, Soldotna AK 99669. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Blake, Michael Todd can be contacted via phone (530) 208-8388.Contact Information
Primary practice address
250 Hospital Place Central Peninsula Hospital
Soldotna AK 99669
Phone: (530) 208-8388
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine | 204R00000X | 20A11305 | California |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | DO1534 | Nevada |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 7612 | Alaska |
Profile Details
NPI number | 1588855803 |
---|---|
LBN Legal business name | Blake, Michael Todd |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2007 |
Last updated | Oct 7th, 2020 - about 5 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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