Blevins, Judith C

Blevins, Judith C is an individual health care provider with primary practice located at 3640 High St Ste 1E, Portsmouth VA 23707-3213. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Blevins, Judith C can be contacted via phone (757) 398-2447.

Contact Information

Primary practice address
3640 High St Ste 1E Portsmouth VA 23707-3213
Phone: (757) 398-2447
Fax: (757) 393-4522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 0101050033 Virginia

Profile Details

NPI number 1740240506
LBN Legal business name Blevins, Judith C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 1st, 2014 - about 12 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 1740240506 NPPES
Virginia MEDICAID 005825024

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