National Provider Identifier Database

WILLIAM J BLAKE, DPM – NPI #1831100502
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

WILLIAM J BLAKE, DPM
2019 GALISTEO ST STE K
SANTA FE, NM87505-2159
Phone: 505-982-0123
Fax: 505-982-5714
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for WILLIAM J BLAKE

NPI Number 1831100502
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/10/2006
Last updated 02/14/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • NM License #: 280
  • NM Medicaid: 75222353
  • NM Other: NM005445 BLUE CROSS BLUE SHIELD
  • NM Other: PROVP11835 MOLINA
  • NM Other: 201035866 PRESBYTERIAN HP
  • NM Other: P00414656 RAILROAD MEDICARE
Hospital affiliation n/a

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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