Blake, Paul A
Blake, Paul A is an individual health care provider with primary practice located at 1090 Arnold Dr , Little Rock Afb AR 72099-4933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Aerospace Medicine, which is considered as his primary health care specialty. Blake, Paul A can be contacted via phone (501) 987-7319.Contact Information
Primary practice address
1090 Arnold Dr
Little Rock Afb AR 72099-4933
Phone: (501) 987-7319
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | 2470 | Nebraska |
Profile Details
| NPI number | 1639799158 |
|---|---|
| LBN Legal business name | Blake, Paul A |
| Credentials | DO (AS OF 5/31/2020) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2020 |
| Last updated | Oct 1st, 2021 - about 5 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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