Blake, Cynthea I

Blake, Cynthea I is an individual health care provider with primary practice located at 3010 N. Circle Drive Suite 120 , Colorado Springs CO 80209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Blake, Cynthea I can be contacted via phone (719) 264-1500.

Contact Information

Primary practice address
3010 N. Circle Drive Suite 120 Colorado Springs CO 80209
Phone: (719) 264-1500
Fax: (719) 234-0024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 30244 Colorado

Profile Details

NPI number 1255425831
LBN Legal business name Blake, Cynthea I
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1255425831 NPPES
Colorado MEDICAID 01302447

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