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Contact Information

BLADEN HEALTHCARE LLC
507 DOCTOR'S DRIVE
ELIZABETHTOWN, NC28337
 Phone: 910-862-3212
 Fax: 910-862-2263
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BLADEN HEALTHCARE LLC · (Female)

NPI # 1154436012
Status Active
Credentials
Entity Individual
Enumeration date 08/20/2006
Last updated 01/13/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 15560
  • NC Medicaid 8967555
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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