Blank, Jonathan William

Blank, Jonathan William is an individual health care provider with primary practice located at 2430 Emerald Pl Ste 201 , Greenville NC 27834-5743. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Blank, Jonathan William can be contacted via phone (252) 752-2140.

Contact Information

Primary practice address
2430 Emerald Pl Ste 201 Greenville NC 27834-5743
Phone: (252) 752-2140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 32991 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 32991 North Carolina

Profile Details

NPI number 1649381468
LBN Legal business name Blank, Jonathan William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 24th, 2022 - about 2 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 1649381468 NPPES
North Carolina Other 132EA BCBS NC
North Carolina Other 9211380 BCBS NC
North Carolina MEDICAID 89132EA BCBS NC
North Carolina Other 24501 BCBS NC
North Carolina Other 57300 BCBS NC
North Carolina Other 050047831 BCBS NC

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