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
Phone: (801) 589-6988
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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