Blalock, John B
Blalock, John B is an sole proprietor health care provider with primary practice located at 541 Sunset Ln Ste 103 , Culpeper VA 22701-3903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Blalock, John B can be contacted via phone (540) 829-4440.Contact Information
Primary practice address
541 Sunset Ln Ste 103
Culpeper VA 22701-3903
Phone: (540) 829-4440
Fax: (540) 825-4026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 9169 | Alabama |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101263724 | Virginia |
Profile Details
| NPI number | 1063685352 |
|---|---|
| LBN Legal business name | Blalock, John B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2008 |
| Last updated | May 27th, 2020 - about 6 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063685352 | NPPES |
| Virginia | MEDICAID | 1063685352 | |
| Virginia | MEDICAID | 000087171 |
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