Blake, Karen E

Blake, Karen E is an sole proprietor health care provider with primary practice located at 909 Vz County Road 2313 , Canton TX 75103-4851. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Licensed Vocational Nurse. Nursing Service Providers / Licensed Vocational Nurse is her primary health care specialty. Blake, Karen E can be contacted via phone (903) 848-4710.

Contact Information

Primary practice address
909 Vz County Road 2313 Canton TX 75103-4851
Phone: (903) 848-4710
Fax: (903) 848-9420
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 741293 Texas
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 112553 Texas

Profile Details

NPI number 1992905905
LBN Legal business name Blake, Karen E
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2007
Last updated Jul 19th, 2007 - about 19 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 1992905905 NPPES
Texas MEDICAID 1002581

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