Blaker, William Keen

Blaker, William Keen is an sole proprietor health care provider with primary practice located at 2018 Rock Spring Rd Suite #7, Forest Hill MD 21050-2631. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Blaker, William Keen can be contacted via phone (410) 879-0400.

Contact Information

Primary practice address
2018 Rock Spring Rd Suite #7 Forest Hill MD 21050-2631
Fax: (410) 879-0494
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 01480 Maryland

Profile Details

NPI number 1992802011
LBN Legal business name Blaker, William Keen
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Feb 26th, 2013 - about 13 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 1992802011 NPPES
Maryland Other T090 FEDERAL BCBS
Maryland Other M079WK FEDERAL BCBS

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