Sanders, Blake
Sanders, Blake is an individual health care provider with primary practice located at 170 Medical Park Rd Ste 203 , Mooresville NC 28117-8540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Sanders, Blake can be contacted via phone (980) 550-2400.Contact Information
Primary practice address
170 Medical Park Rd Ste 203
Mooresville NC 28117-8540
Phone: (980) 550-2400
Fax: (980) 550-2424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS020540 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2021-03162 | North Carolina |
Profile Details
| NPI number | 1972962710 |
|---|---|
| LBN Legal business name | Sanders, Blake |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2016 |
| Last updated | Dec 29th, 2021 - 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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