Blake, Trent Alton
Blake, Trent Alton is an individual health care provider with primary practice located at 1489 S Higley Rd Ste 101, Gilbert AZ 85296-4776. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Blake, Trent Alton can be contacted via phone (480) 457-8800.Contact Information
Primary practice address
1489 S Higley Rd Ste 101
Gilbert AZ 85296-4776
Phone: (480) 457-8800
Fax: (480) 457-8885
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 0661 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 4298 | Arizona |
Profile Details
NPI number | 1841234010 |
---|---|
LBN Legal business name | Blake, Trent Alton |
Credentials | PA-C, ATC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2006 |
Last updated | Oct 24th, 2011 - about 14 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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