Blake, Thomas Duvall

Blake, Thomas Duvall is an individual health care provider with primary practice located at 7255 Hanover Green Dr , Mechanicsville VA 23111-1706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blake, Thomas Duvall can be contacted via phone (804) 730-1111.

Contact Information

Primary practice address
7255 Hanover Green Dr Mechanicsville VA 23111-1706
Phone: (804) 730-1111
Fax: (804) 730-9764
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101034259 Virginia

Profile Details

NPI number 1528025012
LBN Legal business name Blake, Thomas Duvall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jan 14th, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528025012 NPPES
Virginia MEDICAID 5644097

Popular Providers