Blake, John Vayden

Blake, John Vayden is an individual health care provider with primary practice located at 118 Market St , Mannington WV 26582-1131. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Blake, John Vayden can be contacted via phone (304) 986-1750.

Contact Information

Primary practice address
118 Market St Mannington WV 26582-1131
Phone: (304) 986-1750
Fax: (304) 986-3742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 202 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 929 West Virginia

Profile Details

NPI number 1013994953
LBN Legal business name Blake, John Vayden
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Dec 21st, 2021 - about 4 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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