Blakey, Mike L

Blakey, Mike L is an individual health care provider with primary practice located at 1400 W. Benson Blvd Ste 315 , Anchorage AK 99503. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blakey, Mike L can be contacted via phone (907) 929-4009.

Contact Information

Primary practice address
1400 W. Benson Blvd Ste 315 Anchorage AK 99503
Fax: (907) 929-4902
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 113993 Alaska

Profile Details

NPI number 1396953691
LBN Legal business name Blakey, Mike L
Credentials PSY. D
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Nov 16th, 2023 - about 2 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 1396953691 NPPES
Alaska MEDICAID MH3538

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