National Provider Identifier Database

SHIRLEY R BLAKE, M.S. – NPI #1467988360
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

SHIRLEY R BLAKE, M.S.
24063 HIGHPOINT RD
BRISTOL, VA24202-4707
Phone: 276-971-0079
Fax: 276-591-5353
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Interpreter 171R00000X
Prevention Professional 405300000X

* Indicates primary specialty

NPI Profile & details for SHIRLEY R BLAKE

NPI Number 1467988360
Credentials M.S.
Entity Individual
Enumeration date 05/11/2017
Last updated 05/11/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • VA License #: 10,545
  • VA License #: PGP-127280
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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