White, Blake F

White, Blake F is an sole proprietor health care provider with primary practice located at 5623 Bosque Vista Dr Ne , Albuquerque NM 87111-8067. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Prescribing (Medical) is his primary health care specialty. White, Blake F can be contacted via phone (505) 917-3862.

Contact Information

Primary practice address
5623 Bosque Vista Dr Ne Albuquerque NM 87111-8067
Phone: (505) 917-3862
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 213 New Mexico
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 0033 New Mexico

Profile Details

NPI number 1255465886
LBN Legal business name White, Blake F
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Mar 31st, 2014 - about 10 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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