Blakeney, Christine A

Blakeney, Christine A is an sole proprietor health care provider with primary practice located at 1520 Ramblewood Dr. Suite 100, East Lansing MI 48823. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blakeney, Christine A can be contacted via phone (517) 324-9400.

Contact Information

Primary practice address
1520 Ramblewood Dr. Suite 100 East Lansing MI 48823
Fax: (517) 324-9482
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101008336 Michigan

Profile Details

NPI number 1003897026
LBN Legal business name Blakeney, Christine A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2005
Last updated Feb 23rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003897026 NPPES
Michigan MEDICAID 4167845
Michigan Other 080D410020
Michigan Other 202870
Michigan Other 0100690
Michigan Other 0157800124
Michigan Other 080D410020
Michigan Other 080D410020
Michigan Other 202870
Michigan Other 080D410020
Michigan Other 4053286

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