Blake, Carson Curtis

Blake, Carson Curtis is an individual health care provider with primary practice located at 305 N. Main , Ennis MT 59729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blake, Carson Curtis can be contacted via phone (406) 682-6862.

Contact Information

Primary practice address
305 N. Main Ennis MT 59729
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7066 Montana

Profile Details

NPI number 1932194784
LBN Legal business name Blake, Carson Curtis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated May 23rd, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932194784 NPPES
Montana MEDICAID 0042109

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