Boggess, Blake Erin

Boggess, Blake Erin is an individual health care provider with primary practice located at 1900 Randolph Rd Ste 1010 , Charlotte NC 28207-1117. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Boggess, Blake Erin can be contacted via phone (704) 384-1390.

Contact Information

Primary practice address
1900 Randolph Rd Ste 1010 Charlotte NC 28207-1117
Phone: (704) 384-1390
Fax: (704) 384-1063
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP015247 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5014195 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5014195 North Carolina

Profile Details

NPI number 1932572450
LBN Legal business name Boggess, Blake Erin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2015
Last updated Jul 30th, 2024 - 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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