Blake, Zachary Ian

Blake, Zachary Ian is an individual health care provider with primary practice located at 3200 Maccorkle Ave, Se, Suite B-16 , Charleston WV 25304. 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 Ian can be contacted via phone (304) 388-5848.

Contact Information

Primary practice address
3200 Maccorkle Ave, Se, Suite B-16 Charleston WV 25304
Phone: (304) 388-5848
Fax: (304) 388-9654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2726 West Virginia

Profile Details

NPI number 1447901665
LBN Legal business name Blake, Zachary Ian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2022
Last updated Sep 11th, 2023 - about 2 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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