Blake, James Davis

Blake, James Davis is an sole proprietor health care provider with primary practice located at 3081 Lorna Rd Suite 101, Hoover AL 35216-4579. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blake, James Davis can be contacted via phone (205) 979-3381.

Contact Information

Primary practice address
3081 Lorna Rd Suite 101 Hoover AL 35216-4579
Phone: (205) 979-3381
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8072 Alabama

Profile Details

NPI number 1881616191
LBN Legal business name Blake, James Davis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Aug 4th, 2011 - about 15 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 1881616191 NPPES
Alabama MEDICAID 009936823
Alabama Other 515-00146

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