Blake, Sean
Blake, Sean is an individual health care provider with primary practice located at 2300 Manchester Expy Ste 101A , Columbus GA 31904-6802. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Blake, Sean can be contacted via phone (706) 322-6646.Contact Information
Primary practice address
2300 Manchester Expy Ste 101A
Columbus GA 31904-6802
Phone: (706) 322-6646
Fax: (706) 322-2891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 069875 | Georgia |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | S0431 | Texas |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 069875 | Georgia |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 069875 | Georgia |
Profile Details
| NPI number | 1497067540 |
|---|---|
| LBN Legal business name | Blake, Sean |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2010 |
| Last updated | May 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497067540 | NPPES |
| Georgia | Other | 52606838-001 | BCBSGA |
| Georgia | Other | 600-88733 | BCBSGA |
| Georgia | Other | 069875 | BCBSGA |
| Georgia | Other | S0431 | BCBSGA |
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