National Provider Identifier Database

DR THOMAS L BLAKE PA
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

DR. THOMAS L BLAKE PA
104 N GREENSBORO STREET
LIBERTY, NC27298
Phone: 336-622-1600
Fax: 336-622-1600
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for DR. THOMAS L BLAKE PA

NPI Number 1336218221
Legal business name
LBN
DR. THOMAS L BLAKE PA
Authorized official THOMAS BLAKE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/07/2006
Last updated 03/13/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 2074
  • NC Medicaid: 890830H

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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