Blake, Catherine L

Blake, Catherine L is an individual health care provider with primary practice located at 1848 Daimler Rd , Rockford IL 61112-1019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Blake, Catherine L can be contacted via phone (815) 229-2500.

Contact Information

Primary practice address
1848 Daimler Rd Rockford IL 61112-1019
Phone: (815) 229-2500
Fax: (815) 316-1881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X Illinois

Profile Details

NPI number 1366560773
LBN Legal business name Blake, Catherine L
Credentials APN CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 8th, 2007 - about 19 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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