Poe, Blake M

Poe, Blake M is an sole proprietor health care provider with primary practice located at 408 E Montana Ave , Coeur D Alene ID 83814-3051. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Poe, Blake M can be contacted via phone (208) 667-3515.

Contact Information

Primary practice address
408 E Montana Ave Coeur D Alene ID 83814-3051
Fax: (208) 667-1304
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC3277 Idaho

Profile Details

NPI number 1952399339
LBN Legal business name Poe, Blake M
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated May 9th, 2013 - about 11 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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