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BLMD OF LOUDOUN INC. NPI 1043452675


NPI Information

NPI: 1043452675
Provider Name: BLMD OF LOUDOUN, INC.

Doing Business As: BODYLOGICMD OF LOUDOUN

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
46165 WESTLAKE DR
100
POTOMAC FALLS, VA
ZIP 20165
Phone: (888) 799-5816
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BLMD OF LOUDOUN, INC. is a specialist in Potomac Falls, VA. The provider is 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. BLMD OF LOUDOUN, INC. NPI is 1043452675. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bodylogicmd Of Loudoun.

The provider's business location address is:

46165 WESTLAKE DR
100
POTOMAC FALLS, VA
ZIP 20165-872
Phone: (888) 799-5816
Fax: (703) 433-9386

The provider's authorized official is Heidi Archer .
The authorized official title is Director and has the following contact phone number (888) 799-5816.

The enumeration date for this NPI number is 3/27/2009 and was last updated on 3/27/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist101050030VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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