Blanco, John Louis

Blanco, John Louis is an individual health care provider with primary practice located at 300 Foxcroft Ave Suite 202B, Martinsburg WV 25401-5341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Blanco, John Louis can be contacted via phone (304) 263-4967.

Contact Information

Primary practice address
300 Foxcroft Ave Suite 202B Martinsburg WV 25401-5341
Phone: (304) 263-4967
Fax: (304) 267-0974
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 20314 West Virginia

Profile Details

NPI number 1134165285
LBN Legal business name Blanco, John Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Feb 19th, 2013 - about 11 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 1134165285 NPPES
Maryland MEDICAID 022130900
Maryland MEDICAID 1801316000
Maryland Other 000150164

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