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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538573290 NPPES
Colorado Other 028205 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 9000137354 KAISER COMMERCIAL NUMBER

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