Gregory, Nicholas Blake
Gregory, Nicholas Blake is an sole proprietor health care provider with primary practice located at Iha Hospital Medicine Services 5301 E Huron River Drive, Ypsilanti MI 48197. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gregory, Nicholas Blake can be contacted via phone (734) 712-8676.Contact Information
Primary practice address
Iha Hospital Medicine Services 5301 E Huron River Drive
Ypsilanti MI 48197
Phone: (734) 712-8676
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 5101027953 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101027953 | Michigan |
Profile Details
| NPI number | 1043897051 |
|---|---|
| LBN Legal business name | Gregory, Nicholas Blake |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2021 |
| Last updated | Jul 16th, 2024 - 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.
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