Blank, Carol A

Blank, Carol A is an individual health care provider with primary practice located at 11 Hunters Trl , Gettysburg PA 17325-7281. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Blank, Carol A can be contacted via phone (717) 334-7681.

Contact Information

Primary practice address
11 Hunters Trl Gettysburg PA 17325-7281
Phone: (717) 334-7681
Fax: (717) 334-0730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD069190L Pennsylvania

Profile Details

NPI number 1043202047
LBN Legal business name Blank, Carol A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Feb 19th, 2013 - about 11 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 1043202047 NPPES
Pennsylvania MEDICAID 0017562320001

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