Prather, Blake Thomas
Prather, Blake Thomas is an individual health care provider with primary practice located at 112 E Alto Rd , Kokomo IN 46902-3601. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Prather, Blake Thomas can be contacted via phone (765) 455-2505.Contact Information
Primary practice address
112 E Alto Rd
Kokomo IN 46902-3601
Phone: (765) 455-2505
Fax: (765) 455-2564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12011651A | Indiana |
Profile Details
| NPI number | 1356636799 |
|---|---|
| LBN Legal business name | Prather, Blake Thomas |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2011 |
| Last updated | Jun 26th, 2014 - 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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