Blake, Robert Adams

Blake, Robert Adams is an individual health care provider with primary practice located at 620 Summit Crossing Place Suite 108, Gastonia NC 28054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Blake, Robert Adams can be contacted via phone (704) 865-0077.

Contact Information

Primary practice address
620 Summit Crossing Place Suite 108 Gastonia NC 28054
Phone: (704) 865-0077
Fax: (704) 867-6401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 16492 North Carolina

Profile Details

NPI number 1982677506
LBN Legal business name Blake, Robert Adams
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1982677506 NPPES
North Carolina MEDICAID 8916174

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