Blacker, Mason

Blacker, Mason is an individual health care provider with primary practice located at 1636 Regulus Ave Bldg 313 , Virginia Beach VA 23461-2200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Other Service Providers / Military Health Care Provider. Other Service Providers / Military Health Care Provider is his primary health care specialty. Blacker, Mason can be contacted via phone (217) 552-4570.

Contact Information

Primary practice address
1636 Regulus Ave Bldg 313 Virginia Beach VA 23461-2200
Phone: (217) 552-4570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101287001 Virginia
Other Service Providers / Military Health Care Provider 171000000X

Profile Details

NPI number 1336908821
LBN Legal business name Blacker, Mason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2024
Last updated Feb 4th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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