Blake, Robert A.L.

Blake, Robert A.L. is an individual health care provider with primary practice located at 301 Governors Dr Sw , Huntsville AL 35801-5123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Blake, Robert A.L. can be contacted via phone (256) 551-4579.

Contact Information

Primary practice address
301 Governors Dr Sw Huntsville AL 35801-5123
Phone: (256) 551-4579
Fax: (256) 551-4585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X D47798 Maryland

Profile Details

NPI number 1619072212
LBN Legal business name Blake, Robert A.L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Mar 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619072212 NPPES
Maryland MEDICAID 255200100

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