Wise, Blakely David
Wise, Blakely David is an individual health care provider with primary practice located at 20036 Zion Ave Ste 100, Cornelius NC 28031-8435. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wise, Blakely David can be contacted via phone (704) 801-7400.Contact Information
Primary practice address
20036 Zion Ave Ste 100
Cornelius NC 28031-8435
Phone: (704) 801-7400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-08866 | North Carolina |
Profile Details
| NPI number | 1396201935 |
|---|---|
| LBN Legal business name | Wise, Blakely David |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2019 |
| Last updated | Dec 18th, 2023 - about last year |
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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