Blake Allen Smith in Northbrook - Podiatrist
Blake Allen Smith - NPI 1316978174
Blake Allen Smith is a Podiatrist in Northbrook, Illinois. Blake Allen Smith practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Blake Allen Smith is 1316978174. The last update date is 2019-01-22.
Blake Allen Smith's current location address is Po Box 917, Northbrook, Illinois. You can contact this provider via phone number 8475045000 and fax number 8475045015. The mailing address for Blake Allen Smith is Po Box 917, Northbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blake Allen Smith |
|---|---|
| Address | Po Box 917, Northbrook, Illinois |
| Phone Number | 8475045000 |
| Fax Number | 8475045015 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1316978174 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2019-01-22 |
Provider Mailing Address Detail
| Address | Po Box 917 |
|---|---|
| City | Northbrook |
| State | Illinois (IL) |
| Post Code | 600650917 |
| Phone Number | 8475045000 |
| Fax Number | 8475045015 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 16004391 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7000838 | IN | IN LICENSE | |
| 16004391 | IL | IL LICENSE | |
| 200136480E | IN | -- | |
| 859800F | IN | ADMINISTAR FEDERAL PIN | |
| P01675626 | IN | RAILROAD MEDICARE | |
| 16004391 | IL | -- | |
| 480017243 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Blake Allen Smith?
The Blake Allen Smith has been issued the NPI (National Provider Identifier) 1316978174 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Blake Allen Smith is physically located?
The Blake Allen Smith is situated at the following address: Po Box 917, Northbrook, IL 600650917.
What is the Blake Allen Smith's specialty and taxonomy code?
The Blake Allen Smith's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316978174 to Blake Allen Smith?
The Centers for Medicare & Medicaid Services originally issued the 1316978174 to Blake Allen Smith on 2006-07-06.
When was the Blake Allen Smith's information last updated?
The Blake Allen Smith's information was last updated on 2019-01-22.