Geren, Blake Norton

Geren, Blake Norton is an individual health care provider with primary practice located at 7901 Dallas St , Fort Smith AR 72903-4281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Geren, Blake Norton can be contacted via phone (479) 782-8892.

Contact Information

Primary practice address
7901 Dallas St Fort Smith AR 72903-4281
Phone: (479) 782-8892
Fax: (479) 782-8840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X E5157 Arkansas

Profile Details

NPI number 1063448405
LBN Legal business name Geren, Blake Norton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Dec 17th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063448405 NPPES
Other CQ2484 RAILROAD MEDICARE
MEDICAID 200115630A RAILROAD MEDICARE
Other P00419389 RAILROAD MEDICARE
MEDICAID 164798001 RAILROAD MEDICARE

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