Individual provider · Type 1 NPI

Scott Patrick Blake

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

NPI number 1700318987 Active

Practice location

1711 N 6th 1/2 St Ste 100
Terre Haute, IN 47804-2700

Mailing address

280 Morse Landing Dr
Cicero, IN 46034-9519

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1700318987

Scott Patrick Blake's National Provider Identifier is 1700318987, issued on Mar 28, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Terre Haute, IN. The record was last updated on Mar 28, 2017.