Blanco-Doe, Jenny

Blanco-Doe, Jenny is an individual health care provider with primary practice located at 2053 Valleygate Dr Suite 101, Fayetteville NC 28304-3688. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Blanco-Doe, Jenny can be contacted via phone (910) 323-9222.

Contact Information

Primary practice address
2053 Valleygate Dr Suite 101 Fayetteville NC 28304-3688
Fax: (910) 221-9220
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 6218 North Carolina

Profile Details

NPI number 1881656932
LBN Legal business name Blanco-Doe, Jenny
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated May 16th, 2008 - about 17 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 1881656932 NPPES
North Carolina MEDICAID 7001503

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