Blank, Cheryl L
Blank, Cheryl L is an individual health care provider with primary practice located at 887 Congress St Suite 410B, Portland ME 04102-3100. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Blank, Cheryl L can be contacted via phone (207) 662-5522.Contact Information
Primary practice address
887 Congress St Suite 410B
Portland ME 04102-3100
Phone: (207) 662-5522
Fax: (207) 662-5527
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | OS013295 | Pennsylvania |
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 2053 | Maine |
Profile Details
NPI number | 1932171089 |
---|---|
LBN Legal business name | Blank, Cheryl L |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 3rd, 2006 |
Last updated | Mar 10th, 2011 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932171089 | NPPES |
Pennsylvania | MEDICAID | 101336885 | |
Pennsylvania | MEDICAID | 432917499 | |
Pennsylvania | MEDICAID | 30226634 |
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