Blasdell, Steven Charles

Blasdell, Steven Charles is an individual health care provider with primary practice located at 3300 High St Suite 1, Portsmouth VA 23707-3321. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Blasdell, Steven Charles can be contacted via phone (757) 673-5680.

Contact Information

Primary practice address
3300 High St Suite 1 Portsmouth VA 23707-3321
Fax: (757) 397-0236
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101039494 Virginia

Profile Details

NPI number 1114929361
LBN Legal business name Blasdell, Steven Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Feb 22nd, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114929361 NPPES
Virginia MEDICAID 006498507

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