Moore, Blake E
Moore, Blake E is an individual health care provider with primary practice located at 1975 Glenn Mitchell Dr Ste 200 , Virginia Beach VA 23456-0167. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Moore, Blake E can be contacted via phone (757) 321-3300.Contact Information
Primary practice address
1975 Glenn Mitchell Dr Ste 200
Virginia Beach VA 23456-0167
Phone: (757) 321-3300
Fax: (757) 321-3330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | UID441344 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 0101255929 | Virginia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0101255929 | Virginia |
Profile Details
| NPI number | 1326215518 |
|---|---|
| LBN Legal business name | Moore, Blake E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2008 |
| Last updated | Nov 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326215518 | NPPES |
| Virginia | Other | C05501 | MEDICARE GROUP |
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