Mcdonald, Blake

Mcdonald, Blake is an sole proprietor health care provider with primary practice located at 1906 Fairview Ave Ste 220 , Caldwell ID 83605-5432. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Mcdonald, Blake can be contacted via phone (208) 795-5072.

Contact Information

Primary practice address
1906 Fairview Ave Ste 220 Caldwell ID 83605-5432
Phone: (208) 795-5072
Fax: (208) 402-0068
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 63996 Idaho

Profile Details

NPI number 1396379475
LBN Legal business name Mcdonald, Blake
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2020
Last updated Apr 21st, 2020 - 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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