White, Blake F
White, Blake F is an sole proprietor health care provider with primary practice located at 5623 Bosque Vista Dr Ne , Albuquerque NM 87111-8067. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Prescribing (Medical) is his primary health care specialty. White, Blake F can be contacted via phone (505) 917-3862.Contact Information
Primary practice address
5623 Bosque Vista Dr Ne
Albuquerque NM 87111-8067
Phone: (505) 917-3862
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 213 | New Mexico |
| Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | 0033 | New Mexico |
Profile Details
| NPI number | 1255465886 |
|---|---|
| LBN Legal business name | White, Blake F |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Mar 31st, 2014 - about 12 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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