Sisson, Blake

Sisson, Blake is an individual health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905-2723. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Sisson, Blake can be contacted via phone (507) 284-2511.

Contact Information

Primary practice address
200 1St St Sw Rochester MN 55905-2723
Phone: (507) 284-2511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2727 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 14420 Minnesota

Profile Details

NPI number 1740632355
LBN Legal business name Sisson, Blake
Credentials PA-C, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2016
Last updated May 17th, 2023 - about 2 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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