Jacks, Blake Brickey

Jacks, Blake Brickey is an individual health care provider with primary practice located at 8901 Carti Way , Little Rock AR 72205-6523. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Jacks, Blake Brickey can be contacted via phone (501) 906-3000.

Contact Information

Primary practice address
8901 Carti Way Little Rock AR 72205-6523
Phone: (501) 906-3000
Fax: (501) 907-6522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E-12730 Arkansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME142675 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X E-12730 Arkansas

Profile Details

NPI number 1255726956
LBN Legal business name Jacks, Blake Brickey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2015
Last updated Sep 28th, 2022 - about 2 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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