Blankenhorn, Glenn D

Blankenhorn, Glenn D is an individual health care provider with primary practice located at 3300 Bailey St Nw Ste 104, Massillon OH 44646-3613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as his primary health care specialty. Blankenhorn, Glenn D can be contacted via phone (330) 837-3823.

Contact Information

Primary practice address
3300 Bailey St Nw Ste 104 Massillon OH 44646-3613
Phone: (330) 837-3823
Fax: (330) 837-8313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 34003712 Ohio

Profile Details

NPI number 1497759369
LBN Legal business name Blankenhorn, Glenn D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Dec 17th, 2007 - about 18 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 1497759369 NPPES
Ohio MEDICAID 0586852

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