Blake, Sidney Allen

Blake, Sidney Allen is an individual health care provider with primary practice located at 350 N Cox St Ste 6 , Asheboro NC 27203-5514. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Blake, Sidney Allen can be contacted via phone (336) 633-1937.

Contact Information

Primary practice address
350 N Cox St Ste 6 Asheboro NC 27203-5514
Phone: (336) 633-1937
Fax: (336) 633-1942
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01081509A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9400725 North Carolina

Profile Details

NPI number 1093800245
LBN Legal business name Blake, Sidney Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Feb 6th, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093800245 NPPES
North Carolina MEDICAID 8916177
North Carolina MEDICAID 9400725

Popular Providers