Breaux, Blake Leonard
Breaux, Blake Leonard is an individual health care provider with primary practice located at 1708 Yakima Ave Ste 105 , Tacoma WA 98405-5300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Breaux, Blake Leonard can be contacted via phone (253) 382-8008.Contact Information
Primary practice address
1708 Yakima Ave Ste 105
Tacoma WA 98405-5300
Phone: (253) 382-8008
Fax: (253) 382-8125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 60950347 | Washington |
Profile Details
| NPI number | 1427618420 |
|---|---|
| LBN Legal business name | Breaux, Blake Leonard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2019 |
| Last updated | Jun 20th, 2019 - about 7 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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