Blake, Robert B

Blake, Robert B is an individual health care provider with primary practice located at 1450 Ellis St Suite 201, Bozeman MT 59715-8812. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Blake, Robert B can be contacted via phone (406) 587-0122.

Contact Information

Primary practice address
1450 Ellis St Suite 201 Bozeman MT 59715-8812
Phone: (406) 587-0122
Fax: (406) 587-5548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD192627 Oregon
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 8585 Montana
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 8585 Montana

Profile Details

NPI number 1285635904
LBN Legal business name Blake, Robert B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Nov 5th, 2020 - about 4 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 1285635904 NPPES
Montana MEDICAID 14263

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