Blankenship, Brad E
Blankenship, Brad E is an sole proprietor health care provider with primary practice located at 306 N Chancery St , Mc Minnville TN 37110-2048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Blankenship, Brad E can be contacted via phone (931) 507-4500.Contact Information
Primary practice address
306 N Chancery St
Mc Minnville TN 37110-2048
Phone: (931) 507-4500
Fax: (931) 507-4502
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD17499 | Tennessee |
Profile Details
NPI number | 1427090562 |
---|---|
LBN Legal business name | Blankenship, Brad E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 12th, 2006 |
Last updated | Feb 8th, 2008 - about 17 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 | 1427090562 | NPPES |
Tennessee | MEDICAID | 3735031 | |
Tennessee | Other | MD17499 |
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