Blankenship, Joe David

Blankenship, Joe David is an sole proprietor health care provider with primary practice located at 3000 Greystone Sq , Jackson TN 38305-3589. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Blankenship, Joe David can be contacted via phone (731) 664-5150.

Contact Information

Primary practice address
3000 Greystone Sq Jackson TN 38305-3589
Phone: (731) 664-5150
Fax: (731) 664-5059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11096 Tennessee

Profile Details

NPI number 1437115763
LBN Legal business name Blankenship, Joe David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Mar 28th, 2023 - about last year

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 1437115763 NPPES
Tennessee Other 165546 UNISON HEALTH PLAN
Tennessee Other 7030 UNISON HEALTH PLAN
Tennessee MEDICAID 3842457 UNISON HEALTH PLAN
Tennessee Other 4102818 UNISON HEALTH PLAN

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