Blaker, Brian David
Blaker, Brian David is an individual health care provider with primary practice located at 101 William H Johnson St Ste 600 , Florence SC 29506-2773. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Blaker, Brian David can be contacted via phone (843) 667-1891.Contact Information
Primary practice address
101 William H Johnson St Ste 600
Florence SC 29506-2773
Phone: (843) 667-1891
Fax: (843) 665-2516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 38085 | South Carolina |
Profile Details
| NPI number | 1134495138 |
|---|---|
| LBN Legal business name | Blaker, Brian David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2012 |
| 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 | 1134495138 | NPPES |
| South Carolina | MEDICAID | 380858 |
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