Blankenship, Carmen
Blankenship, Carmen is an individual health care provider with primary practice located at 15328 Main St E , Sumner WA 98390-2640. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Blankenship, Carmen can be contacted via phone (253) 863-0404.Contact Information
Primary practice address
15328 Main St E
Sumner WA 98390-2640
Phone: (253) 863-0404
Fax: (253) 863-5834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT2607 | Washington |
Profile Details
| NPI number | 1629173042 |
|---|---|
| LBN Legal business name | Blankenship, Carmen |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Jul 9th, 2007 - 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 | 1629173042 | NPPES |
| Washington | Other | 51171 | LABOR & INDUSTRIES |
| Washington | MEDICAID | 8346421 | LABOR & INDUSTRIES |
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