Reddick, Blake

Reddick, Blake is an individual health care provider with primary practice located at 10755 Falls Rd , Lutherville Timonium MD 21093-4515. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Reddick, Blake can be contacted via phone (410) 616-7350.

Contact Information

Primary practice address
10755 Falls Rd Lutherville Timonium MD 21093-4515
Phone: (410) 616-7350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R243734 Maryland
Nursing Service Providers / General Practice 163WG0000X 041446406 Illinois
Nursing Service Providers / General Practice 163WG0000X 28235378A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R243734 Maryland

Profile Details

NPI number 1356999387
LBN Legal business name Reddick, Blake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2019
Last updated Jul 16th, 2020 - about 4 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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