Brown, Blake L.
Brown, Blake L. is an individual health care provider with primary practice located at 2006 Health Campus Dr Ste 300 , Rockingham VA 22801-8679. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Brown, Blake L. can be contacted via phone (540) 689-7400.Contact Information
Primary practice address
2006 Health Campus Dr Ste 300
Rockingham VA 22801-8679
Phone: (540) 689-7400
Fax: (757) 963-9617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110003778 | Virginia |
Profile Details
| NPI number | 1134499981 |
|---|---|
| LBN Legal business name | Brown, Blake L. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2012 |
| Last updated | Oct 22nd, 2021 - about 5 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 | 1134499981 | NPPES |
| Virginia | MEDICAID | 1134499981 |
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