Blanco, Robert John
Blanco, Robert John is an individual health care provider with primary practice located at 855 N Westhaven Dr , Oshkosh WI 54904-7668. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Blanco, Robert John can be contacted via phone (920) 303-8700.Contact Information
Primary practice address
855 N Westhaven Dr
Oshkosh WI 54904-7668
Phone: (920) 303-8700
Fax: (920) 303-8993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 52680-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 52680-020 | Wisconsin |
Profile Details
| NPI number | 1316272099 |
|---|---|
| LBN Legal business name | Blanco, Robert John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2009 |
| Last updated | Mar 15th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316272099 | NPPES |
| Wisconsin | MEDICAID | 100075672 |
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