Collier, Blake R

Collier, Blake R is an individual health care provider with primary practice located at 384 Embarcadero W , Oakland CA 94607-3731. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Collier, Blake R can be contacted via phone (615) 778-4066.

Contact Information

Primary practice address
384 Embarcadero W Oakland CA 94607-3731
Phone: (615) 778-4066
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA13624 California

Profile Details

NPI number 1699890814
LBN Legal business name Collier, Blake R
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 8th, 2007 - about 19 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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