Jeffres, Blake David

Jeffres, Blake David is an individual health care provider with primary practice located at 2728 N 108Th St Ste 103 , Omaha NE 68164-3763. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Jeffres, Blake David can be contacted via phone (402) 939-7939.

Contact Information

Primary practice address
2728 N 108Th St Ste 103 Omaha NE 68164-3763
Phone: (402) 939-7939
Fax: (402) 939-7939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 4074 Nebraska
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 4074 Nebraska

Profile Details

NPI number 1427661495
LBN Legal business name Jeffres, Blake David
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2020
Last updated Sep 16th, 2020 - about 5 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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