Paul David Blakeley in Spartanburg - Orthotist
Paul David Blakeley - NPI 1104997907
Paul David Blakeley is a Orthotist in Spartanburg, South Carolina. Paul David Blakeley practices all healthcare services and medical treatments related to Orthotist. The NPI Number for Paul David Blakeley is 1104997907. The last update date is 2007-07-09.
Paul David Blakeley's current location address is 102 Willow Lane, Spartanburg, South Carolina. You can contact this provider via phone number 8645824411 and fax number 8645736717. The mailing address for Paul David Blakeley is 102 Willow Lane, Spartanburg, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul David Blakeley |
|---|---|
| Address | 102 Willow Lane, Spartanburg, South Carolina |
| Phone Number | 8645824411 |
| Fax Number | 8645736717 |
| Sole Proprietor | N |
| Credentials | CPO FAAOP |
NPI Number Detail
| NPI Number | 1104997907 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 102 Willow Lane |
|---|---|
| City | Spartanburg |
| State | South Carolina (SC) |
| Post Code | 293071343 |
| Phone Number | 8645824411 |
| Fax Number | 8645736717 |
Provider's Primary Taxonomy Detail
| Speciality | Orthotist |
|---|---|
| Taxonomy | 222Z00000X |
|
Definition: A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7701424 | NC | -- | |
| DME285 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Paul David Blakeley by the Centers for Medicare & Medicaid Services?
The Paul David Blakeley has been assigned the NPI (National Provider Identifier) 1104997907 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Paul David Blakeley?
The Paul David Blakeley is situated at 102 Willow Lane, in the city of Spartanburg, state of SC, with the zip code 293071343.
What is the Paul David Blakeley's specialty and taxonomy code?
The Paul David Blakeley's specialty is Orthotist, and the corresponding taxonomy code is 222Z00000X.
When was the Paul David Blakeley's 1104997907 issued?
The Paul David Blakeley's 1104997907 was issued on 2006-11-13.
When was the information related to Paul David Blakeley most recently updated or refreshed?
The details pertaining to the Paul David Blakeley, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY