Blankenship, Jeffery Braden

Blankenship, Jeffery Braden is an individual health care provider with primary practice located at 200 W 3Rd St , Newport KY 41071-1814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blankenship, Jeffery Braden can be contacted via phone (859) 578-5662.

Contact Information

Primary practice address
200 W 3Rd St Newport KY 41071-1814
Phone: (859) 578-5662
Fax: (859) 261-3777
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 48387 Kentucky

Profile Details

NPI number 1740627124
LBN Legal business name Blankenship, Jeffery Braden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2013
Last updated Jul 12th, 2024 - about 2 months 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 1740627124 NPPES
Ohio MEDICAID 0138104

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