Blake, Jennifer Marie

Blake, Jennifer Marie is an individual health care provider with primary practice located at 3901 Beaubien St Childrens Hospital Of Mi 4Th Fl, Detroit MI 48201-2119. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Blake, Jennifer Marie can be contacted via phone (313) 745-5484.

Contact Information

Primary practice address
3901 Beaubien St Childrens Hospital Of Mi 4Th Fl Detroit MI 48201-2119
Fax: (313) 966-2423
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 4301090782 Michigan

Profile Details

NPI number 1891952370
LBN Legal business name Blake, Jennifer Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2008
Last updated Jan 18th, 2017 - about 9 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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