Jerome M Blake in Sioux Falls - Neurodevelopmental Disabilities
Jerome M Blake - NPI 1699760546
Jerome M Blake is a Neurodevelopmental Disabilities in Sioux Falls, South Dakota. Jerome M Blake practices all healthcare services and medical treatments related to Neurodevelopmental Disabilities. The NPI Number for Jerome M Blake is 1699760546. The last update date is 2015-03-13.
Jerome M Blake's current location address is Po Box 5074, Sioux Falls, South Dakota. You can contact this provider via phone number 6053287180 and fax number 6053287177. The mailing address for Jerome M Blake is Po Box 5074, Sioux Falls, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome M Blake |
|---|---|
| Address | Po Box 5074, Sioux Falls, South Dakota |
| Phone Number | 6053287180 |
| Fax Number | 6053287177 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1699760546 |
|---|---|
| Provider Enumeration Date | 2005-09-16 |
| Last Updated Date | 2015-03-13 |
Provider Mailing Address Detail
| Address | Po Box 5074 |
|---|---|
| City | Sioux Falls |
| State | South Dakota (SD) |
| Post Code | 571175074 |
| Phone Number | 6053287180 |
| Fax Number | 6053287177 |
Provider's Primary Taxonomy Detail
| Speciality | Neurodevelopmental Disabilities |
|---|---|
| Taxonomy | 2080P0008X |
| Licence No | 2228 |
|
Definition: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Jerome M Blake by the Centers for Medicare & Medicaid Services (CMS)?
The Jerome M Blake has been assigned the NPI (National Provider Identifier) 1699760546. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Jerome M Blake?
The Jerome M Blake is situated at Po Box 5074, in the city of Sioux Falls, state of SD, with the zip code 571175074.
What is Jerome M Blake's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerome M Blake is Neurodevelopmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 2080P0008X.
On what date did the Jerome M Blake receive the assignment of its 1699760546 from the Centers for Medicare & Medicaid Services?
The Jerome M Blake was issued its 1699760546 by the Centers for Medicare & Medicaid Services on 2005-09-16.
As of what date was the information pertaining to Jerome M Blake, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jerome M Blake, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-03-13.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY