Gendron, Blake Patrick
Gendron, Blake Patrick is an individual health care provider with primary practice located at 407 14Th Ave Se , Puyallup WA 98372-3770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gendron, Blake Patrick can be contacted via phone (253) 848-6661.Contact Information
Primary practice address
407 14Th Ave Se
Puyallup WA 98372-3770
Phone: (253) 848-6661
Fax: (253) 770-5990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD00022124 | Washington |
Profile Details
| NPI number | 1861438970 |
|---|---|
| LBN Legal business name | Gendron, Blake Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Jun 27th, 2008 - 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 | 1861438970 | NPPES |
| Washington | MEDICAID | 8101495 |
Popular Providers
-
Friedrick, Stephen Edmund
401 15Th Ave Se , Puyallup WA 98372-3715 -
Esterhay, Pieter V
401 15Th Ave Se , Puyallup WA 98372-3715 -
Younggren, Jennifer Beth
407 14Th Ave Se , Puyallup WA 98372-3770 -
Billing, Paul M
1706 Meridian S Suite 120, Puyallup WA 98371-7516 -
Duling, Reginald Douglas
407 14Th Ave Se , Puyallup WA 98372-3770 -
Shah, Amol Jagdish
407 14Th Ave Se , Puyallup WA 98372-3770 -
Ouellet, Lyne Marie
407 14Th Ave Se , Puyallup WA 98372-3770 -
Taylor, John Scott
407 14Th Ave Se , Puyallup WA 98372-3770