Blake, Nathan Thomas
Blake, Nathan Thomas is an sole proprietor health care provider with primary practice located at 2500 E Lake St , Minneapolis MN 55406-1909. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Blake, Nathan Thomas can be contacted via phone (612) 721-1611.Contact Information
Primary practice address
2500 E Lake St
Minneapolis MN 55406-1909
Phone: (612) 721-1611
Fax: (612) 721-1611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 118039-8 | Minnesota |
Profile Details
| NPI number | 1780681023 |
|---|---|
| LBN Legal business name | Blake, Nathan Thomas |
| Credentials | PHARM. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Apr 4th, 2011 - about 13 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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