Blaylock, William K

Blaylock, William K is an sole proprietor health care provider with primary practice located at 400 Gresham Dr Medical Tower, Suite 702, Norfolk VA 23507-1901. He recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as his primary health care specialty. Blaylock, William K can be contacted via phone (757) 533-5437.

Contact Information

Primary practice address
400 Gresham Dr Medical Tower, Suite 702 Norfolk VA 23507-1901
Phone: (757) 533-5437
Fax: (757) 533-5602
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 0101044962 Virginia

Profile Details

NPI number 1396794947
LBN Legal business name Blaylock, William K
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Nov 6th, 2012 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396794947 NPPES
Virginia MEDICAID 0063-3042-8
Virginia Other 240001577
Virginia Other 099122
Virginia Other 54-1546268

Popular Providers