Blandford, Joseph Marion

Blandford, Joseph Marion is an individual health care provider with primary practice located at 4402 Churchman Ave Ste 202 , Louisville KY 40215-3100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Blandford, Joseph Marion can be contacted via phone (502) 366-1090.

Contact Information

Primary practice address
4402 Churchman Ave Ste 202 Louisville KY 40215-3100
Phone: (502) 366-1090
Fax: (502) 366-1564
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 201460 Kentucky

Profile Details

NPI number 1124020300
LBN Legal business name Blandford, Joseph Marion
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jan 23rd, 2019 - about 5 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 1124020300 NPPES
Kentucky Other 000000050011 ANTHEM
Kentucky Other 1049012 ANTHEM
Kentucky Other 020017842 ANTHEM
Kentucky Other P01026548 ANTHEM
Kentucky MEDICAID 64201460 ANTHEM

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