Geren, Blake Norton
Geren, Blake Norton is an individual health care provider with primary practice located at 7901 Dallas St , Fort Smith AR 72903-4281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Geren, Blake Norton can be contacted via phone (479) 782-8892.Contact Information
Primary practice address
7901 Dallas St
Fort Smith AR 72903-4281
Phone: (479) 782-8892
Fax: (479) 782-8840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | E5157 | Arkansas |
Profile Details
| NPI number | 1063448405 |
|---|---|
| LBN Legal business name | Geren, Blake Norton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Dec 17th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063448405 | NPPES |
| Other | CQ2484 | RAILROAD MEDICARE | |
| MEDICAID | 200115630A | RAILROAD MEDICARE | |
| Other | P00419389 | RAILROAD MEDICARE | |
| MEDICAID | 164798001 | RAILROAD MEDICARE |
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