Blake, William Edward
Blake, William Edward is an individual health care provider with primary practice located at 4740 S I 10 Service Rd W , Metairie LA 70001-1234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Blake, William Edward can be contacted via phone (504) 883-3703.Contact Information
Primary practice address
4740 S I 10 Service Rd W
Metairie LA 70001-1234
Phone: (504) 883-3703
Fax: (504) 883-3704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 011575 | Louisiana |
Profile Details
| NPI number | 1144224817 |
|---|---|
| LBN Legal business name | Blake, William Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Feb 2nd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144224817 | NPPES |
| Louisiana | MEDICAID | 1174891 |
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