Blake, David Paul
Blake, David Paul is an individual health care provider with primary practice located at 3300 Gallows Rd , Falls Church VA 22042-3307. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Blake, David Paul can be contacted via phone (703) 531-2246.Contact Information
Primary practice address
3300 Gallows Rd
Falls Church VA 22042-3307
Phone: (703) 531-2246
Fax: (703) 237-7895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 35.093895 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 61499 | Connecticut |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 61499 | Connecticut |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 0101241616 | Virginia |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 0101241616 | Virginia |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 35.093895 | Ohio |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 61499 | Connecticut |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101241616 | Virginia |
Profile Details
| NPI number | 1063484210 |
|---|---|
| LBN Legal business name | Blake, David Paul |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jun 21st, 2022 - about 2 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 | 1063484210 | NPPES |
| Virginia | Other | 488414 | ANTHEM BC/BS |
| Virginia | Other | PAR | ANTHEM BC/BS |
| Virginia | Other | PAR | ANTHEM BC/BS |
| Virginia | Other | 1063484210 | ANTHEM BC/BS |
| Virginia | Other | 1063484210 | ANTHEM BC/BS |
| Virginia | Other | PAR | ANTHEM BC/BS |
| Virginia | Other | 10106541 | ANTHEM BC/BS |
| Virginia | MEDICAID | 1063484210 | ANTHEM BC/BS |
| Virginia | Other | PAR | ANTHEM BC/BS |
| Virginia | MEDICAID | 1063484210 | ANTHEM BC/BS |
| Virginia | Other | PAR | ANTHEM BC/BS |
| Virginia | Other | PAR | ANTHEM BC/BS |
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