Gregory, Douglas Blair
Gregory, Douglas Blair is an individual health care provider with primary practice located at 4868 Bridge Road , Suffolk VA 23435-2048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gregory, Douglas Blair can be contacted via phone (757) 483-7900.Contact Information
Primary practice address
4868 Bridge Road
Suffolk VA 23435-2048
Phone: (757) 483-7900
Fax: (757) 483-7151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101032733 | Virginia |
Profile Details
| NPI number | 1184687675 |
|---|---|
| LBN Legal business name | Gregory, Douglas Blair |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Mar 1st, 2013 - about 13 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 | 1184687675 | NPPES |
| Virginia | MEDICAID | 006715630 |
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