Smith, Blake Allen
Smith, Blake Allen is an individual health care provider with primary practice located at 3113 Bellevue Ave Fl 3 , Cincinnati OH 45219-3158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Smith, Blake Allen can be contacted via phone (513) 475-8730.Contact Information
Primary practice address
3113 Bellevue Ave Fl 3
Cincinnati OH 45219-3158
Phone: (513) 475-8730
Fax: (513) 475-8033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01073180A | Indiana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 46546 | Kentucky |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35121619 | Ohio |
Profile Details
| NPI number | 1518192533 |
|---|---|
| LBN Legal business name | Smith, Blake Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2009 |
| Last updated | Nov 8th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518192533 | NPPES |
| Other | P01347060 | RR MEDICARE | |
| MEDICAID | 0104892 | RR MEDICARE | |
| MEDICAID | 7100305370 | RR MEDICARE |
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