Blake, Matthew
Blake, Matthew is an individual health care provider with primary practice located at 6100 S Louise Ave Ste 2100 , Sioux Falls SD 57108-6021. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Blake, Matthew can be contacted via phone (605) 504-1100.Contact Information
Primary practice address
6100 S Louise Ave Ste 2100
Sioux Falls SD 57108-6021
Phone: (605) 504-1100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0101252248 | Virginia |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 49155 | Kentucky |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 10419 | South Dakota |
Profile Details
| NPI number | 1730396904 |
|---|---|
| LBN Legal business name | Blake, Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Oct 31st, 2019 - about 7 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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