Blankenship, Carol J
Blankenship, Carol J is an individual health care provider with primary practice located at 1775 E Skyline Dr Ste 101, Tucson AZ 85718-1162. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blankenship, Carol J can be contacted via phone (520) 615-6200.Contact Information
Primary practice address
1775 E Skyline Dr Ste 101
Tucson AZ 85718-1162
Phone: (520) 615-6200
Fax: (520) 615-6255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW2974 | Arizona |
Profile Details
| NPI number | 1598746323 |
|---|---|
| LBN Legal business name | Blankenship, Carol J |
| Credentials | LCSQ |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Jul 8th, 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 | 1598746323 | NPPES |
| Arizona | MEDICAID | 958382 |
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