Smith, Blake Andre
Smith, Blake Andre is an individual health care provider with primary practice located at 2854 Bell St , Zanesville OH 43701-1721. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Smith, Blake Andre can be contacted via phone (740) 454-3273.Contact Information
Primary practice address
2854 Bell St
Zanesville OH 43701-1721
Phone: (740) 454-3273
Fax: (740) 588-1081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 50.004031 | Ohio |
Profile Details
| NPI number | 1093132631 |
|---|---|
| LBN Legal business name | Smith, Blake Andre |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2014 |
| Last updated | Aug 31st, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093132631 | NPPES |
| Ohio | MEDICAID | 0101439 |
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