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
Phone: (337) 407-1777
Fax: (337) 407-1199
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124037726 | NPPES |
Louisiana | MEDICAID | 1489131 |
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