Dennis, R. Blake

Dennis, R. Blake is an individual health care provider with primary practice located at 1106 Chuck Dawley Blvd Suite 100, Mount Pleasant SC 29464-4183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Dennis, R. Blake can be contacted via phone (843) 849-1551.

Contact Information

Primary practice address
1106 Chuck Dawley Blvd Suite 100 Mount Pleasant SC 29464-4183
Phone: (843) 849-1551
Fax: (843) 884-0629
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 12163 South Carolina

Profile Details

NPI number 1497742720
LBN Legal business name Dennis, R. Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Nov 9th, 2009 - about 16 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 1497742720 NPPES
South Carolina MEDICAID DM0683
South Carolina MEDICAID GP2895

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