Blake, Nicholas Zoltan
Blake, Nicholas Zoltan is an individual health care provider with primary practice located at 76 Ne 12Th St , Madras OR 97741-1827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blake, Nicholas Zoltan can be contacted via phone (406) 258-4789.Contact Information
Primary practice address
76 Ne 12Th St
Madras OR 97741-1827
Phone: (406) 258-4789
Fax: (406) 258-4732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD184258 | Oregon |
Profile Details
| NPI number | 1811300999 |
|---|---|
| LBN Legal business name | Blake, Nicholas Zoltan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2014 |
| Last updated | Jul 21st, 2022 - about 4 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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