Blake, Alex

Blake, Alex is an individual health care provider with primary practice located at 10743 S State Route 133 , Blanchester OH 45107-9435. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Blake, Alex can be contacted via phone (937) 728-9782.

Contact Information

Primary practice address
10743 S State Route 133 Blanchester OH 45107-9435
Phone: (937) 728-9782
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 157559 Ohio

Profile Details

NPI number 1710348701
LBN Legal business name Blake, Alex
Credentials CSFA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2016
Last updated Mar 17th, 2016 - about 9 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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