Williams, Blake Kent

Williams, Blake Kent is an sole proprietor health care provider with primary practice located at 780 Main St Ste 102 , Great Barrington MA 01230. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Williams, Blake Kent can be contacted via phone (413) 528-8643.

Contact Information

Primary practice address
780 Main St Ste 102 Great Barrington MA 01230
Phone: (413) 528-8643
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 272651 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 272651 Massachusetts

Profile Details

NPI number 1164764684
LBN Legal business name Williams, Blake Kent
Credentials M.D., CAQSM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2013
Last updated May 14th, 2018 - about 7 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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