Mcdonald, Blake Alan

Mcdonald, Blake Alan is an individual health care provider with primary practice located at 1325 Spring St , Greenwood SC 29646-3860. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mcdonald, Blake Alan can be contacted via phone (864) 725-4671.

Contact Information

Primary practice address
1325 Spring St Greenwood SC 29646-3860
Phone: (864) 725-4671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28637 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN164337 Georgia

Profile Details

NPI number 1841477163
LBN Legal business name Mcdonald, Blake Alan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2008
Last updated Jun 14th, 2024 - about last year

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 1841477163 NPPES
South Carolina MEDICAID AN2886

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