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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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 1407870579 NPPES
Connecticut MEDICAID 001303171

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