Blaylock, William

Blaylock, William is an individual health care provider with primary practice located at 1930 Braeburn Cir , Salem VA 24153-7388. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Blaylock, William can be contacted via phone (540) 444-5600.

Contact Information

Primary practice address
1930 Braeburn Cir Salem VA 24153-7388
Phone: (540) 444-5600
Fax: (540) 444-5617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 0101018545 Virginia

Profile Details

NPI number 1811973423
LBN Legal business name Blaylock, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Aug 25th, 2015 - about 10 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 1811973423 NPPES
Virginia Other P00276848 MEDICARE RAILROAD
Virginia MEDICAID 006095291 MEDICARE RAILROAD

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