Blakley, Michael C

Blakley, Michael C is an individual health care provider with primary practice located at 705 Riley Hospital Dr Rr 307, Indianapolis IN 46202-5109. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is his primary health care specialty. Blakley, Michael C can be contacted via phone (317) 274-2172.

Contact Information

Primary practice address
705 Riley Hospital Dr Rr 307 Indianapolis IN 46202-5109
Phone: (317) 274-2172
Fax: (317) 278-3031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01060351A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01060351A Indiana
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 01060351A Indiana
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X 01060351A Indiana

Profile Details

NPI number 1184607038
LBN Legal business name Blakley, Michael C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Feb 6th, 2026 - about 9 months 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 1184607038 NPPES
Indiana MEDICAID 200903650
Indiana Other 000000774382
Indiana Other 000000769478
Indiana Other P01339696

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