Blake, Sean

Blake, Sean is an individual health care provider with primary practice located at 2300 Manchester Expy Ste 101A , Columbus GA 31904-6802. 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 / Hand Surgery is his primary health care specialty. Blake, Sean can be contacted via phone (706) 322-6646.

Contact Information

Primary practice address
2300 Manchester Expy Ste 101A Columbus GA 31904-6802
Phone: (706) 322-6646
Fax: (706) 322-2891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 069875 Georgia
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X S0431 Texas
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 069875 Georgia
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 069875 Georgia

Profile Details

NPI number 1497067540
LBN Legal business name Blake, Sean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2010
Last updated May 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497067540 NPPES
Georgia Other 52606838-001 BCBSGA
Georgia Other 600-88733 BCBSGA
Georgia Other 069875 BCBSGA
Georgia Other S0431 BCBSGA

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