Barney, Blake Spencer
Barney, Blake Spencer is an individual health care provider with primary practice located at 1525 Riverside Avenue Suite B, Fort Collins CO 80524. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Prosthodontics. Dental Providers / General Practice is his primary health care specialty. Barney, Blake Spencer can be contacted via phone (970) 493-9001.Contact Information
Primary practice address
1525 Riverside Avenue Suite B
Fort Collins CO 80524
Phone: (970) 493-9001
Fax: (970) 416-6336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE60301991 | Washington |
| Dental Providers / General Practice | 1223G0001X | DE60301991 | Washington |
| Dental Providers / Prosthodontics | 1223P0700X | DE60301991 | Washington |
Profile Details
| NPI number | 1225388606 |
|---|---|
| LBN Legal business name | Barney, Blake Spencer |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2012 |
| Last updated | Jan 21st, 2015 - about 11 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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