Badgett, Blake Allen

Badgett, Blake Allen is an sole proprietor health care provider with primary practice located at 211 N Illinois St , Weatherford OK 73096-5437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Badgett, Blake Allen can be contacted via phone (580) 772-6777.

Contact Information

Primary practice address
211 N Illinois St Weatherford OK 73096-5437
Phone: (580) 772-6777
Fax: (580) 772-2510
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22800 Oklahoma

Profile Details

NPI number 1376636084
LBN Legal business name Badgett, Blake Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376636084 NPPES
Oklahoma Other 100090510 B SOONER CARE
Oklahoma MEDICAID 100090510 A SOONER CARE

Popular Providers