Blanco, Jesus

Blanco, Jesus is an sole proprietor health care provider with primary practice located at 104 Whalon St Suite 108, Fitchburg MA 01420-7128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Blanco, Jesus can be contacted via phone (978) 342-1150.

Contact Information

Primary practice address
104 Whalon St Suite 108 Fitchburg MA 01420-7128
Phone: (978) 342-1150
Fax: (978) 342-4530
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 56301 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 56301 Massachusetts

Profile Details

NPI number 1275590473
LBN Legal business name Blanco, Jesus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated Feb 4th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275590473 NPPES
Massachusetts MEDICAID 3040101
Massachusetts Other B75029

Popular Providers