Blake, Andre Anthony

Blake, Andre Anthony is an individual health care provider with primary practice located at 2 W Fern Ave , Redlands CA 92373-5916. 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, Andre Anthony can be contacted via phone (909) 793-3311.

Contact Information

Primary practice address
2 W Fern Ave Redlands CA 92373-5916
Phone: (909) 793-3311
Fax: (909) 335-4190
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA16708 California

Profile Details

NPI number 1588655682
LBN Legal business name Blake, Andre Anthony
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Feb 3rd, 2020 - about 6 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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