Pemberton, William Blake

Pemberton, William Blake is an sole proprietor health care provider with primary practice located at 1010 College St , Oxford NC 27565-2507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Pemberton, William Blake can be contacted via phone (919) 690-3000.

Contact Information

Primary practice address
1010 College St Oxford NC 27565-2507
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME142310 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2015-01934 North Carolina

Profile Details

NPI number 1477998664
LBN Legal business name Pemberton, William Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2013
Last updated May 5th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477998664 NPPES
Florida Other L2853 FL MEDICARE

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