Blend, Mary Beth

Blend, Mary Beth is an individual health care provider with primary practice located at 1700 Willow Lawn Drive Suite 230, Richmond VA 23230-3003. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Blend, Mary Beth can be contacted via phone (804) 340-1193.

Contact Information

Primary practice address
1700 Willow Lawn Drive Suite 230 Richmond VA 23230-3003
Phone: (804) 340-1193
Fax: (804) 340-1930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305204112 Virginia

Profile Details

NPI number 1205898061
LBN Legal business name Blend, Mary Beth
Credentials MS, PT, OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated May 6th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205898061 NPPES
Virginia Other 192935 BCBS PHYSICAL THERAPY
Virginia MEDICAID 010140412 BCBS PHYSICAL THERAPY
Virginia Other P00271177 BCBS PHYSICAL THERAPY
Virginia Other 7026532 BCBS PHYSICAL THERAPY

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