Blankenship, Bethany Anne Tynes
Blankenship, Bethany Anne Tynes is an individual health care provider with primary practice located at 501 E Hampden Ave , Englewood CO 80113-2702. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Blankenship, Bethany Anne Tynes can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
501 E Hampden Ave
Englewood CO 80113-2702
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | TL.0005354 | Colorado |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | DR.0058291 | Colorado |
Profile Details
NPI number | 1538573290 |
---|---|
LBN Legal business name | Blankenship, Bethany Anne Tynes |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 19th, 2014 |
Last updated | Jun 16th, 2021 - about 4 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 | 1538573290 | NPPES |
Colorado | Other | 028205 | KAISER COMMERCIAL NUMBER |
Colorado | MEDICAID | 9000137354 | KAISER COMMERCIAL NUMBER |
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