Blanford, Anthony Lee

Blanford, Anthony Lee is an sole proprietor health care provider with primary practice located at 122 1St Ave Suite 600, Fairbanks AK 99701-4803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Blanford, Anthony Lee can be contacted via phone (907) 459-3800.

Contact Information

Primary practice address
122 1St Ave Suite 600 Fairbanks AK 99701-4803
Phone: (907) 459-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X AA3540 Alaska

Profile Details

NPI number 1396893749
LBN Legal business name Blanford, Anthony Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Feb 7th, 2012 - about 12 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 1396893749 NPPES
Alaska MEDICAID MD1881

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