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:
Health care specialties
Specialty | Code | License # | 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 11 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 | 1013969765 | NPPES |
Maine | MEDICAID | 299350099 |
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