National Provider Identifier Database

BLUE RIDGE ACADEMIC MEDICAL GROUP PLC
Neuromusculoskeletal Medicine, Sports Medicine

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.


Contact Information

BLUE RIDGE ACADEMIC MEDICAL GROUP, PLC
3700 S MAIN ST
BLACKSBURG, VA24060-7017
Phone: 540-951-1111
Fax:
Website:
Specialty Taxonomy Code
* Neuromusculoskeletal Medicine, Sports Medicine 204C00000X

* Indicates primary specialty

NPI Profile & details for BLUE RIDGE ACADEMIC MEDICAL GROUP, PLC

NPI Number 1861453078
Legal business name
LBN
BLUE RIDGE ACADEMIC MEDICAL GROUP, PLC
Authorized official ISAAC KIRSTEIN - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 03/29/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0102201473
  • VA Other: 279560 ANTHEM
  • VA Other: DA5070 RAILROAD MEDICARE

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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