Leibowitz, Blake
Leibowitz, Blake is an individual health care provider with primary practice located at 14995 Shady Grove Rd , Rockville MD 20850-8726. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Leibowitz, Blake can be contacted via phone (301) 942-7600.Contact Information
Primary practice address
14995 Shady Grove Rd
Rockville MD 20850-8726
Phone: (301) 942-7600
Fax: (301) 217-9241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1578012118 |
|---|---|
| LBN Legal business name | Leibowitz, Blake |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2016 |
| Last updated | Mar 25th, 2022 - about 3 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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