Blake, Pamela J

Blake, Pamela J is an sole proprietor health care provider with primary practice located at 619 19Th St S , Birmingham AL 35249-1900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Blake, Pamela J can be contacted via phone (205) 934-6600.

Contact Information

Primary practice address
619 19Th St S Birmingham AL 35249-1900
Phone: (205) 934-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 1054391 Alabama

Profile Details

NPI number 1770538977
LBN Legal business name Blake, Pamela J
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Jul 30th, 2012 - about 12 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 1770538977 NPPES
Alabama MEDICAID 891007690
Alabama Other 051521386
Alabama MEDICAID 891007670
Alabama MEDICAID 891007710
Alabama MEDICAID 891007720
Alabama MEDICAID 891007730
Alabama Other 051521388
Alabama MEDICAID 891007680
Alabama Other 051521387
Alabama Other 051521389
Alabama Other 051521390
Alabama Other 051521392
Alabama Other 051554939
Alabama Other 051521391
Alabama MEDICAID 891007700

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