Blake, Patrick W

Blake, Patrick W is an individual health care provider with primary practice located at 501 Washington St Suite 502, San Diego CA 92103-2231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Blake, Patrick W can be contacted via phone (619) 542-0013.

Contact Information

Primary practice address
501 Washington St Suite 502 San Diego CA 92103-2231
Phone: (619) 542-0013
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A130951 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X P3510 Texas

Profile Details

NPI number 1871817312
LBN Legal business name Blake, Patrick W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2010
Last updated Jan 18th, 2017 - about 7 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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