Blakeley, Paul David
Blakeley, Paul David is an individual health care provider with primary practice located at 102 Willow Lane , Spartanburg SC 29307-1343. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Blakeley, Paul David can be contacted via phone (864) 582-4411.Contact Information
Primary practice address
102 Willow Lane
Spartanburg SC 29307-1343
Phone: (864) 582-4411
Fax: (864) 573-6717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | South Carolina | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | South Carolina |
Profile Details
| NPI number | 1104997907 |
|---|---|
| LBN Legal business name | Blakeley, Paul David |
| Credentials | CPO FAAOP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104997907 | NPPES |
| North Carolina | MEDICAID | 7701424 | |
| North Carolina | MEDICAID | DME285 |
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