Blake, Carol Vanderpoel

Blake, Carol Vanderpoel is an individual health care provider with primary practice located at 446 N Reading Rd , Ephrata PA 17522-9802. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Blake, Carol Vanderpoel can be contacted via phone (717) 738-4334.

Contact Information

Primary practice address
446 N Reading Rd Ephrata PA 17522-9802
Phone: (717) 738-4334
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA055489 Pennsylvania

Profile Details

NPI number 1538208533
LBN Legal business name Blake, Carol Vanderpoel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jun 8th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538208533 NPPES
Pennsylvania Other 240558UFW MEDICARE PTAN

Popular Providers