Blake, Zachary Ellis

Blake, Zachary Ellis is an individual health care provider with primary practice located at 1514 Jefferson Hwy , Jefferson LA 70121-2429. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Blake, Zachary Ellis can be contacted via phone (504) 842-3000.

Contact Information

Primary practice address
1514 Jefferson Hwy Jefferson LA 70121-2429
Phone: (504) 842-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 338274 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1437850674
LBN Legal business name Blake, Zachary Ellis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2023
Last updated Sep 15th, 2023 - about 3 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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