National Provider Identifier Database

THOMAS L BLAKE, D.C. – NPI #1013075746
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

THOMAS L BLAKE, D.C.
104 NORTH GREENSBORO STREET
LIBERTY, NC27298-3203
Phone: 336-622-1600
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for THOMAS L BLAKE

NPI Number 1013075746
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 12/05/2006
Last updated 08/24/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • NC License #: 2074
  • NC Medicaid: 890830H
Hospital affiliation n/a

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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