Blakley, Michael C
Blakley, Michael C is an individual health care provider with primary practice located at 705 Riley Hospital Dr Rr 307, Indianapolis IN 46202-5109. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is his primary health care specialty. Blakley, Michael C can be contacted via phone (317) 274-2172.Contact Information
Primary practice address
705 Riley Hospital Dr Rr 307
Indianapolis IN 46202-5109
Phone: (317) 274-2172
Fax: (317) 278-3031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01060351A | Indiana |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 01060351A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01060351A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatric Rheumatology | 2080P0216X | 01060351A | Indiana |
Profile Details
| NPI number | 1184607038 |
|---|---|
| LBN Legal business name | Blakley, Michael C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Dec 15th, 2020 - about 4 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 | 1184607038 | NPPES |
| Indiana | MEDICAID | 200903650 | |
| Indiana | Other | P01339696 |
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