Hyde, Blake J

Hyde, Blake J is an individual health care provider with primary practice located at 1120 E Elizabeth St Ste F101, Fort Collins CO 80524-4044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Hyde, Blake J can be contacted via phone (303) 847-3188.

Contact Information

Primary practice address
1120 E Elizabeth St Ste F101 Fort Collins CO 80524-4044
Phone: (303) 847-3188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 6576 Nebraska
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X DR.0056678 Colorado

Profile Details

NPI number 1942595814
LBN Legal business name Hyde, Blake J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2011
Last updated Feb 6th, 2017 - about 8 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 1942595814 NPPES
Colorado MEDICAID 48988359

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