Davis, Blake Thomas
Davis, Blake Thomas is an individual health care provider with primary practice located at 100 Brewster Blvd , Camp Lejeune NC 28547-2575. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davis, Blake Thomas can be contacted via phone (910) 450-4357.Contact Information
Primary practice address
100 Brewster Blvd
Camp Lejeune NC 28547-2575
Phone: (910) 450-4357
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME155570 | Florida |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2023-01787 | North Carolina |
Profile Details
NPI number | 1275067589 |
---|---|
LBN Legal business name | Davis, Blake Thomas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 13th, 2017 |
Last updated | May 13th, 2024 - about last year |
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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