Blade, Ronald T.

Blade, Ronald T. is an individual health care provider with primary practice located at 707 Gum Rock Ct , Newport News VA 23606-2523. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Blade, Ronald T. can be contacted via phone (757) 873-2273.

Contact Information

Primary practice address
707 Gum Rock Ct Newport News VA 23606-2523
Phone: (757) 873-2273
Fax: (757) 873-9422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701002776 Virginia

Profile Details

NPI number 1649377896
LBN Legal business name Blade, Ronald T.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1649377896 NPPES
Virginia MEDICAID 5408211

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