Blaine, David Allen
Blaine, David Allen is an individual health care provider with primary practice located at 84 Brookshire Ln , Beckley WV 25801-6765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Blaine, David Allen can be contacted via phone (304) 255-2341.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 21797 | West Virginia |
Profile Details
| NPI number | 1912968744 |
|---|---|
| LBN Legal business name | Blaine, David Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Apr 7th, 2022 - about 3 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 | 1912968744 | NPPES |
| West Virginia | MEDICAID | 3810001686 |
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