Blake, Daniel Stephen

Blake, Daniel Stephen is an sole proprietor health care provider with primary practice located at 1839 E Enrose St , Mesa AZ 85203-5822. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Blake, Daniel Stephen can be contacted via phone (480) 220-8496.

Contact Information

Primary practice address
1839 E Enrose St Mesa AZ 85203-5822
Phone: (480) 220-8496
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X F01309 Arizona

Profile Details

NPI number 1750390803
LBN Legal business name Blake, Daniel Stephen
Credentials SURGICAL FIRST ASST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated Sep 16th, 2019 - about 7 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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