Blakely, David S
Blakely, David S is an individual health care provider with primary practice located at 4848 Sw 21St St Ste 200, Topeka KS 66604-4415. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Blakely, David S can be contacted via phone (785) 272-5566.Contact Information
Primary practice address
4848 Sw 21St St Ste 200
Topeka KS 66604-4415
Phone: (785) 272-5566
Fax: (785) 252-5967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0420864 | Kansas |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 0420864 | Kansas |
Profile Details
| NPI number | 1518075621 |
|---|---|
| LBN Legal business name | Blakely, David S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Aug 27th, 2016 - about 10 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 | 1518075621 | NPPES |
| Kansas | Other | 100778 | BLUE SHIELD OF KS |
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