Blakemore, William S
Blakemore, William S is an individual health care provider with primary practice located at 101 Mark Dr , Edenton NC 27932-1704. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Blakemore, William S can be contacted via phone (252) 482-7471.Contact Information
Primary practice address
101 Mark Dr
Edenton NC 27932-1704
Phone: (252) 482-7471
Fax: (252) 482-5465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 24730 | North Carolina |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 24730 | North Carolina |
Profile Details
| NPI number | 1235195827 |
|---|---|
| LBN Legal business name | Blakemore, William S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2006 |
| Last updated | May 25th, 2010 - about 14 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 | 1235195827 | NPPES |
| North Carolina | Other | 180002116 | RAILROAD MEDICARE |
| North Carolina | Other | 16180 | RAILROAD MEDICARE |
| North Carolina | MEDICAID | 8916180 | RAILROAD MEDICARE |
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