Blank, John Emmett

Blank, John Emmett is an individual health care provider with primary practice located at 1501 Maple Ave Nw Mob Suite 200, Richmond VA 23226-2553. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Blank, John Emmett can be contacted via phone (804) 285-2300.

Contact Information

Primary practice address
1501 Maple Ave Nw Mob Suite 200 Richmond VA 23226-2553
Fax: (804) 285-8420
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101233158 Virginia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101233158 Virginia
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 0101233158 Virginia

Profile Details

NPI number 1790737492
LBN Legal business name Blank, John Emmett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Aug 14th, 2019 - about 5 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 1790737492 NPPES
Other 200045858 GEORGIA RR MEDICARE
MEDICAID 006409440 GEORGIA RR MEDICARE

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