Blaker, Alan M
Blaker, Alan M is an individual health care provider with primary practice located at 101 William H. Johnson Street Suite 600, Florence SC 29506-2733. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Blaker, Alan M can be contacted via phone (843) 667-1891.Contact Information
Primary practice address
101 William H. Johnson Street Suite 600
Florence SC 29506-2733
Phone: (843) 667-1891
Fax: (843) 665-2516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 14809 | South Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 14809 | South Carolina |
Profile Details
| NPI number | 1255399069 |
|---|---|
| LBN Legal business name | Blaker, Alan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Feb 1st, 2021 - about 3 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 | 1255399069 | NPPES |
| South Carolina | MEDICAID | 148094 | |
| South Carolina | MEDICAID | 890685H |
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