Martin, Blake Andrew
Martin, Blake Andrew is an individual health care provider with primary practice located at 3801 S National Ave Ste 700 , Springfield MO 65807-5210. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Martin, Blake Andrew can be contacted via phone (417) 885-3888.Contact Information
Primary practice address
3801 S National Ave Ste 700
Springfield MO 65807-5210
Phone: (417) 885-3888
Fax: (471) 520-5959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2018004423 | Missouri |
Profile Details
| NPI number | 1821599382 |
|---|---|
| LBN Legal business name | Martin, Blake Andrew |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2018 |
| Last updated | Jun 22nd, 2021 - about 5 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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