Christoph, Blake M.
Christoph, Blake M. is an individual health care provider with primary practice located at 801 Old York Rd Suite 315, Jenkintown PA 19046-1611. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Christoph, Blake M. can be contacted via phone (215) 886-3620.Contact Information
Primary practice address
801 Old York Rd Suite 315
Jenkintown PA 19046-1611
Phone: (215) 886-3620
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X |
Profile Details
NPI number | 1427151307 |
---|---|
LBN Legal business name | Christoph, Blake M. |
Credentials | CPO |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 6th, 2006 |
Last updated | Jul 9th, 2007 - about 18 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 | 1427151307 | NPPES |
Pennsylvania | Other | 282753 | PENNSYLVANIA BLUE SHIELD |
Pennsylvania | Other | 3910 | PENNSYLVANIA BLUE SHIELD |
Pennsylvania | Other | 0002587000 | PENNSYLVANIA BLUE SHIELD |
Pennsylvania | Other | 0002587000 | PENNSYLVANIA BLUE SHIELD |
Pennsylvania | MEDICAID | 0561550 | PENNSYLVANIA BLUE SHIELD |
Pennsylvania | MEDICAID | 3486303 | PENNSYLVANIA BLUE SHIELD |
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