Blankenship, Dennis Michael

Blankenship, Dennis Michael is an individual health care provider with primary practice located at 422 Beech St , Texarkana AR 71854-5310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Blankenship, Dennis Michael can be contacted via phone (870) 773-1111.

Contact Information

Primary practice address
422 Beech St Texarkana AR 71854-5310
Phone: (870) 773-1111
Fax: (870) 772-1354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X R3130 Arkansas

Profile Details

NPI number 1821086547
LBN Legal business name Blankenship, Dennis Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Apr 5th, 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 1821086547 NPPES
Arkansas MEDICAID 107680001
Arkansas Other 50512

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