Watts, Blake Howard

Watts, Blake Howard is an individual health care provider with primary practice located at 1840 Amherst St , Winchester VA 22601-2808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Watts, Blake Howard can be contacted via phone (540) 536-8750.

Contact Information

Primary practice address
1840 Amherst St Winchester VA 22601-2808
Phone: (540) 536-8750
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101039798 Virginia

Profile Details

NPI number 1245228840
LBN Legal business name Watts, Blake Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Mar 8th, 2021 - about 3 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 1245228840 NPPES
West Virginia MEDICAID 0119145000
West Virginia MEDICAID 150421500
West Virginia MEDICAID 007239131
West Virginia Other 300037139

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