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Contact Information

THOMAS L BLAKE, D.C.
104 NORTH GREENSBORO STREET
LIBERTY, NC27298-3203
 Phone: 336-622-1600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for THOMAS L BLAKE · (Male)

NPI Number 1013075746
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 12/05/2006
Last updated 08/24/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 2074
  • NC Medicaid 890830H
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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