Bland, Mary M
Bland, Mary M is an individual health care provider with primary practice located at 1168 First Colonial Rd , Virginia Beach VA 23454-2444. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bland, Mary M can be contacted via phone (757) 686-3508.Contact Information
Primary practice address
1168 First Colonial Rd
Virginia Beach VA 23454-2444
Phone: (757) 686-3508
Fax: (757) 686-0541
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18471 | West Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101256886 | Virginia |
Profile Details
| NPI number | 1104800051 |
|---|---|
| LBN Legal business name | Bland, Mary M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Nov 17th, 2014 - about 11 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 | 1104800051 | NPPES |
| West Virginia | Other | 001737863 | MS BCBS |
| West Virginia | MEDICAID | 3810000329 | MS BCBS |
| West Virginia | MEDICAID | 3810000660 | MS BCBS |
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