Blake, Brian J

Blake, Brian J is an individual health care provider with primary practice located at 4760 Belpar St Nw , Canton OH 44718-3603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Blake, Brian J can be contacted via phone (330) 492-9200.

Contact Information

Primary practice address
4760 Belpar St Nw Canton OH 44718-3603
Phone: (330) 492-9200
Fax: (330) 492-5454
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X A106986 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35095075 Ohio

Profile Details

NPI number 1124278668
LBN Legal business name Blake, Brian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2008
Last updated Mar 18th, 2011 - about 15 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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