Charlton, Blake Randolph

Charlton, Blake Randolph is an individual health care provider with primary practice located at 3841 Piper St Ste T100 , Anchorage AK 99508-4674. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Charlton, Blake Randolph can be contacted via phone (907) 561-3211.

Contact Information

Primary practice address
3841 Piper St Ste T100 Anchorage AK 99508-4674
Phone: (907) 561-3211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 162044 Alaska

Profile Details

NPI number 1982946315
LBN Legal business name Charlton, Blake Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2013
Last updated Jun 30th, 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.

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