Blake, Wilton E.

Blake, Wilton E. is an sole proprietor health care provider with primary practice located at 4100 W 3Rd St , Dayton OH 45428-9000. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Blake, Wilton E. can be contacted via phone (937) 262-3394.

Contact Information

Primary practice address
4100 W 3Rd St Dayton OH 45428-9000
Phone: (937) 262-3394
Fax: (937) 267-5351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1871516104
LBN Legal business name Blake, Wilton E.
Credentials D.MIN/BCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 17 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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