Deblois, Mark Edwin
Deblois, Mark Edwin is an individual health care provider with primary practice located at 1115 Boulders Pkwy Suite 100, North Chesterfield VA 23225-4067. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Deblois, Mark Edwin can be contacted via phone (804) 320-1339.Contact Information
Primary practice address
1115 Boulders Pkwy Suite 100
North Chesterfield VA 23225-4067
Phone: (804) 320-1339
Fax: (804) 330-5829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 101036512 | Virginia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0101036512 | Virginia |
Profile Details
| NPI number | 1548214372 |
|---|---|
| LBN Legal business name | Deblois, Mark Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jan 28th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548214372 | NPPES |
| Virginia | Other | 061547 | ANTHEM HEALTHKEEPERS PLUS |
| Virginia | Other | 061547 | ANTHEM HEALTHKEEPERS PLUS |
| Virginia | Other | 540885859 | ANTHEM HEALTHKEEPERS PLUS |
| Virginia | Other | 540885859 | ANTHEM HEALTHKEEPERS PLUS |
| Virginia | MEDICAID | 006440193 | ANTHEM HEALTHKEEPERS PLUS |
| Virginia | Other | 2138265 | ANTHEM HEALTHKEEPERS PLUS |
| Virginia | Other | 540885859 | ANTHEM HEALTHKEEPERS PLUS |
| Virginia | Other | 540885859 | ANTHEM HEALTHKEEPERS PLUS |
| Virginia | Other | 540885859 | ANTHEM HEALTHKEEPERS PLUS |
| Virginia | MEDICAID | 1548214372 | ANTHEM HEALTHKEEPERS PLUS |
| Virginia | Other | 536767 | ANTHEM HEALTHKEEPERS PLUS |
| Virginia | Other | 540885859 | ANTHEM HEALTHKEEPERS PLUS |
| Virginia | Other | 540885859 | ANTHEM HEALTHKEEPERS PLUS |
| Virginia | Other | 540885859 | ANTHEM HEALTHKEEPERS PLUS |
| Virginia | Other | 200019198 | ANTHEM HEALTHKEEPERS PLUS |
| Virginia | Other | 48192 | ANTHEM HEALTHKEEPERS PLUS |
| Virginia | Other | 540885859 | ANTHEM HEALTHKEEPERS PLUS |
| Virginia | Other | 540885859 | ANTHEM HEALTHKEEPERS PLUS |
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