Blank, Karen
Blank, Karen is an individual health care provider with primary practice located at 200 Retreat Avenue Hartford Hospital Psychiatry Dept, Hartford CT 06102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as her primary health care specialty. Blank, Karen can be contacted via phone (860) 545-0335.Contact Information
Primary practice address
200 Retreat Avenue Hartford Hospital Psychiatry Dept
Hartford CT 06102
Phone: (860) 545-0335
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 030317 | Connecticut |
Profile Details
NPI number | 1407870579 |
---|---|
LBN Legal business name | Blank, Karen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2006 |
Last updated | Feb 21st, 2008 - about 16 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 | 1407870579 | NPPES |
Connecticut | MEDICAID | 001303171 |
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