Blake, David
Blake, David is an individual health care provider with primary practice located at 14555 W National Ave Ste 192, New Berlin WI 53151-4494. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Blake, David can be contacted via phone (262) 827-2959.Contact Information
Primary practice address
14555 W National Ave Ste 192
New Berlin WI 53151-4494
Phone: (262) 827-2959
Fax: (262) 827-2948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 19654 | Wisconsin |
Profile Details
| NPI number | 1831161348 |
|---|---|
| LBN Legal business name | Blake, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Mar 14th, 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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