Blankenship, John C
Blankenship, John C is an individual health care provider with primary practice located at 195 King Ave. , Athens GA 30606. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Blankenship, John C can be contacted via phone (706) 543-6261.Contact Information
Primary practice address
195 King Ave.
Athens GA 30606
Phone: (706) 543-6261
Fax: (706) 543-7060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 049529 | Georgia |
Profile Details
| NPI number | 1730160177 |
|---|---|
| LBN Legal business name | Blankenship, John C |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2005 |
| Last updated | Nov 5th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730160177 | NPPES |
| Georgia | MEDICAID | 00901931A |
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