Scott Patrick Blake - Terre Haute, IN

Scott Patrick Blake

Student in an Organized Health Care Education/Training Program in Terre Haute, Indiana

NPI 1700318987

Scott Patrick Blake is a Student in an Organized Health Care Education/Training Program based in Cicero, IN. Scott Patrick Blake practices in Terre Haute, IN. The NPI Number for Scott Patrick Blake is 1700318987 and holds a License No. (Indiana).

The current practice location address for Scott Patrick Blake is 1711 N 6Th 1/2 St Ste 100, Terre Haute, IN and can be reached out via phone at 859-257-7616.

Location: 1711 N 6Th 1/2 St Ste 100, Terre Haute, IN, 46034-9519

NPI Number

1700318987

Provider Name

Scott Patrick Blake

Credential

Provider Entity Type

Individual

Gender

Male

Address

1711 N 6Th 1/2 St Ste 100, Terre Haute, IN, 46034-9519

Phone Number

859-257-7616

Fax Number

Provider Enumeration Date

03/28/2017

Last Update Date

03/09/2024

Address

1711 N 6Th 1/2 St Ste 100

City

Terre Haute

State

Indiana

Zip

47804-2700

Phone Number

859-257-7616

Fax Number

Address

1711 N 6Th 1/2 St Ste 100

City

Terre Haute

State

Indiana

Zip

47804-2700

Phone Number

859-257-7616

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

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Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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