DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACK D BLAINE, M.D.

Active Sole Proprietor

DR. JACK D BLAINE, M.D. is a Psychiatry healthcare provider located in BETHESDA, Maryland. NPI 1720139199 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · BETHESDA, MD

Registration Details

NPI Number
1720139199
Provider Type
Individual
Gender
Male
NPI Issued
Jan 14, 2007 (19.53588405907 yrs)
Last Updated
Jul 8, 2007
License
D0004502 (MD)
Sole Proprietor
Yes

Practice Information

Address
4400 E WEST HWY
SUITE 225
BETHESDA, MD, 208144524
Browse MD providers · Browse ZIP 20814
Phone
3019834493
Fax
3019839379
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in BETHESDA, MD

Name Credential NPI
DR. FRANCES IRENE STEWART M.D. 1891797981
DR. SANDRA ARLEEN YERKES M.D. 1306841853
MAHTEME SELASSIE MD 1225034135
DR. ANN C BIRK MD 1154328367
DR. JAMES CURTIS WEST JR. M.D. 1225021876
DR. JACK STEVEN PIERCE M.D. 1508851247
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.