Individual
SHANNON BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
631 QUAKER LN S, WEST HARTFORD, CT 06110-1026
(860) 233-5133
(860) 232-6527
Mailing address
229 HENRY ST, MANCHESTER, CT 06042-3243
(860) 371-5335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001550
CT
Other
Enumeration date
06/21/2006
Last updated
07/28/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us