Blandford, Roger J

Blandford, Roger J is an individual health care provider with primary practice located at 3000 Edward Curd Ln , Franklin TN 37067-5791. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Blandford, Roger J can be contacted via phone (615) 791-2630.

Contact Information

Primary practice address
3000 Edward Curd Ln Franklin TN 37067-5791
Phone: (615) 791-2630
Fax: (615) 791-2639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 006042 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 9105450 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3915 Tennessee
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL1436 Florida

Profile Details

NPI number 1740373117
LBN Legal business name Blandford, Roger J
Credentials PA-C, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated May 14th, 2024 - about 6 months 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 1740373117 NPPES
Tennessee MEDICAID Q051014
Tennessee MEDICAID 003108303C
Tennessee MEDICAID 003108303B

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