Blakely, F Adele

Blakely, F Adele is an individual health care provider with primary practice located at 5400 Gibson Se , Albuquerque NM 87108. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as her primary health care specialty. Blakely, F Adele can be contacted via phone (505) 262-7000.

Contact Information

Primary practice address
5400 Gibson Se Albuquerque NM 87108
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 77135 New Mexico

Profile Details

NPI number 1952324238
LBN Legal business name Blakely, F Adele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
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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Identifiers

StateTypeNumberIssuer
All States NPI 1952324238 NPPES
New Mexico MEDICAID 13637771

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