Blankenhorn, Brad D.

Blankenhorn, Brad D. is an sole proprietor health care provider with primary practice located at 1 Kettle Point Ave , East Providence RI 02914-5375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Blankenhorn, Brad D. can be contacted via phone (401) 330-1405.

Contact Information

Primary practice address
1 Kettle Point Ave East Providence RI 02914-5375
Phone: (401) 330-1405
Fax: (401) 277-0799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2012-0546 New Mexico
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD13206 Rhode Island

Profile Details

NPI number 1003033119
LBN Legal business name Blankenhorn, Brad D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Feb 14th, 2019 - about 5 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 1003033119 NPPES
Rhode Island Other 110087299A MASSHEALTH
Rhode Island MEDICAID BB81009 MASSHEALTH

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