Blake, Patricia J
Blake, Patricia J is an individual health care provider with primary practice located at 10506 Burt Cir Suite 100, Omaha NE 68114-2094. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blake, Patricia J can be contacted via phone (402) 493-4444.Contact Information
Primary practice address
10506 Burt Cir Suite 100
Omaha NE 68114-2094
Phone: (402) 493-4444
Fax: (402) 493-1550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 526 | Nebraska |
Profile Details
| NPI number | 1699703538 |
|---|---|
| LBN Legal business name | Blake, Patricia J |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699703538 | NPPES |
| Nebraska | Other | 103314 | VALUE OPTIONS PROVIDER ID |
| Nebraska | Other | 08397 | VALUE OPTIONS PROVIDER ID |
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