Squires, Blake

Squires, Blake is an individual health care provider with primary practice located at 4021 Avenue B , Scottsbluff NE 69361-4602. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Squires, Blake can be contacted via phone (308) 635-3711.

Contact Information

Primary practice address
4021 Avenue B Scottsbluff NE 69361-4602
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2568 Nebraska

Profile Details

NPI number 1306430848
LBN Legal business name Squires, Blake
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2021
Last updated Mar 31st, 2024 - 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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