Individual provider · Type 1 NPI
Matthew Blake
Student in an Organized Health Care Education/Training Program · Chillicothe, OH
NPI number
1154717080
Active
Practice location
272 Hospital Rd
Chillicothe, OH 45601-9031
Mailing address
7199 Chula Vista Ln
Bloomfield, MI 48301-3913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: 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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About NPI 1154717080
Matthew Blake's National Provider Identifier is 1154717080, issued on Apr 7, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chillicothe, OH. The record was last updated on Apr 7, 2015.