Blalock, Anthony Paul

Blalock, Anthony Paul is an sole proprietor health care provider with primary practice located at 1270 Attakapas Dr Suite 103, Opelousas LA 70570-6549. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Blalock, Anthony Paul can be contacted via phone (337) 407-1777.

Contact Information

Primary practice address
1270 Attakapas Dr Suite 103 Opelousas LA 70570-6549
Fax: (337) 407-1199
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 024394 Louisiana

Profile Details

NPI number 1124037726
LBN Legal business name Blalock, Anthony Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Sep 24th, 2009 - about 16 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 1124037726 NPPES
Louisiana MEDICAID 1489131

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