Miles, Blake Henry

Miles, Blake Henry is an sole proprietor health care provider with primary practice located at 977 S Via La Costa Way , Kaysville UT 84037-2839. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Miles, Blake Henry can be contacted via phone (801) 589-6988.

Contact Information

Primary practice address
977 S Via La Costa Way Kaysville UT 84037-2839
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5808074-4405 Utah

Profile Details

NPI number 1003526468
LBN Legal business name Miles, Blake Henry
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2022
Last updated Nov 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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