Blank, Seth D

Blank, Seth D is an individual health care provider with primary practice located at 144 State St Third Floor, Portland ME 04101-3776. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Blank, Seth D can be contacted via phone (207) 879-3120.

Contact Information

Primary practice address
144 State St Third Floor Portland ME 04101-3776
Phone: (207) 879-3120
Fax: (207) 879-3127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD13305 Maine

Profile Details

NPI number 1013969765
LBN Legal business name Blank, Seth D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 16th, 2013 - about 12 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 1013969765 NPPES
Maine MEDICAID 299350099

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