Blake, Linda A

Blake, Linda A is an individual health care provider with primary practice located at 55185 Shelby Rd , Shelby Township MI 48316-1150. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Blake, Linda A can be contacted via phone (248) 650-5200.

Contact Information

Primary practice address
55185 Shelby Rd Shelby Township MI 48316-1150
Phone: (248) 650-5200
Fax: (248) 651-1948
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X LB007856 Michigan

Profile Details

NPI number 1043260961
LBN Legal business name Blake, Linda A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 8th, 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 1043260961 NPPES
Michigan Other 123532 PREFERRED CHOICES
Michigan Other CH630035 PREFERRED CHOICES
Michigan MEDICAID 4967188 PREFERRED CHOICES
Michigan Other 5260086 PREFERRED CHOICES

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