Carney, Blake
Carney, Blake is an individual health care provider with primary practice located at 14711 Fryelands Blvd Se Ste 153 , Monroe WA 98272. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Carney, Blake can be contacted via phone (360) 794-4892.Contact Information
Primary practice address
14711 Fryelands Blvd Se Ste 153
Monroe WA 98272
Phone: (360) 794-4892
Fax: (360) 794-4679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 60843638 | Washington |
Profile Details
| NPI number | 1730673112 |
|---|---|
| LBN Legal business name | Carney, Blake |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2018 |
| Last updated | Sep 7th, 2018 - about 6 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 | 1730673112 | NPPES |
| Washington | MEDICAID | 2105549 |
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