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Contact Information

EMILY BLAKE
11165 STATE ROAD 37 E
NEW HAVEN, IN46774-9770
 Phone: 260-415-4871
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
Indicates primary specialty

NPI Profile & details for EMILY BLAKE · (Female)

NPI # 1730019340
Status Active
Credentials
Entity Individual
Enumeration date 05/23/2026
Last updated 05/23/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • IN License # 28265752A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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