Blake, Paul A

Blake, Paul A is an individual health care provider with primary practice located at 1090 Arnold Dr , Little Rock Afb AR 72099-4933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Aerospace Medicine, which is considered as his primary health care specialty. Blake, Paul A can be contacted via phone (501) 987-7319.

Contact Information

Primary practice address
1090 Arnold Dr Little Rock Afb AR 72099-4933
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 2470 Nebraska

Profile Details

NPI number 1639799158
LBN Legal business name Blake, Paul A
Credentials DO (AS OF 5/31/2020)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2020
Last updated Oct 1st, 2021 - about 3 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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