Robert B Blake
Child Neurologist
705 Riley Hospital Dr
Indianapolis
, Indiana 46202-5109
Robert B Blake
Child Neurologist
705 Riley Hospital Dr
Indianapolis
, Indiana 46202-5109
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About
Features
Specialties
- Child Neurologist
Languages spoken
- English
Location
First Address
- Robert B Blake
- 250 N Shadeland Ave
- Indianapolis, IN
- Zip : 46219-4959
- Phone :
Second Address
- Robert B Blake
- 705 Riley Hospital Dr
- Indianapolis, IN
- Zip : 46202-5109
- Fax : (317) 968-1193
- Phone : (317) 948-7450
Reviews
FAQs
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What type of doctor is Robert B Blake
In what state does Robert B Blake practice in?
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What is Robert B Blake ’s gender?
Is Robert B Blake a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0402X | Child Neurologist | 01078434A | IN |
National Provider Identifier
| NPI | 1396035481 |
|---|---|
| Provider Name | Robert B Blake |
| First Address | Indianapolis, IN 46219-4959 |
| Second Address | Indianapolis, IN 46202-5109 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2011 |
| Last Update Date | 28/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 300002988 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.