Blake, Alric Christopher
Blake, Alric Christopher is an individual health care provider with primary practice located at 1 Richland Medical Park Dr Ste 210 , Columbia SC 29203-6831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Blake, Alric Christopher can be contacted via phone (803) 434-3800.Contact Information
Primary practice address
1 Richland Medical Park Dr Ste 210
Columbia SC 29203-6831
Phone: (803) 434-3800
Fax: (803) 434-1581
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 17330 | South Carolina |
Profile Details
| NPI number | 1689654162 |
|---|---|
| LBN Legal business name | Blake, Alric Christopher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Nov 1st, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689654162 | NPPES |
| South Carolina | Other | 180026568 | RAILROAD MEDICARE |
| South Carolina | MEDICAID | 173305 | RAILROAD MEDICARE |
| South Carolina | MEDICAID | GP1498 | RAILROAD MEDICARE |
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