Gimbel, Blake
Gimbel, Blake is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2639. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Gimbel, Blake can be contacted via phone (614) 722-4700.Contact Information
Primary practice address
700 Childrens Dr
Columbus OH 43205-2639
Phone: (614) 722-4700
Fax: (614) 722-4718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | P.08718 | Ohio |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | P.08718 | Ohio |
Profile Details
| NPI number | 1548713829 |
|---|---|
| LBN Legal business name | Gimbel, Blake |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2016 |
| Last updated | Apr 10th, 2025 - about last year |
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 | 1548713829 | NPPES |
| Ohio | MEDICAID | 0080896 |
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