Blevins, Shaena

Blevins, Shaena is an individual health care provider with primary practice located at 16000 Johnston Memorial Dr Ste 312 , Abingdon VA 24211-7664. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Blevins, Shaena can be contacted via phone (276) 258-3733.

Contact Information

Primary practice address
16000 Johnston Memorial Dr Ste 312 Abingdon VA 24211-7664
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 060242 Georgia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101272449 Virginia

Profile Details

NPI number 1225214786
LBN Legal business name Blevins, Shaena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2008
Last updated Feb 26th, 2024 - about 9 months 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 1225214786 NPPES
Georgia MEDICAID 212984366A

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