Blank, Bruce Gary

Blank, Bruce Gary is an sole proprietor health care provider with primary practice located at 92 N 4Th St Suite 27, Martins Ferry OH 43935-1691. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Blank, Bruce Gary can be contacted via phone (740) 633-4188.

Contact Information

Primary practice address
92 N 4Th St Suite 27 Martins Ferry OH 43935-1691
Phone: (740) 633-4188
Fax: (740) 633-4716
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36002569 Ohio
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00239 West Virginia

Profile Details

NPI number 1790757490
LBN Legal business name Blank, Bruce Gary
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2006
Last updated Mar 19th, 2014 - about 10 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 1790757490 NPPES
Other 6491296002 CIGNA
Other 2102991 CIGNA
Other 2569 CIGNA
Other 480027937 CIGNA
MEDICAID 0099535000 CIGNA
MEDICAID 0747213 CIGNA
Other 000000141557 CIGNA
MEDICAID 01548623 CIGNA
Other 4295099 CIGNA

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