Blankenship, John David

Blankenship, John David is an sole proprietor health care provider with primary practice located at 401 Lowell Dr Se Ste 14 , Huntsville AL 35801-3738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blankenship, John David can be contacted via phone (256) 534-7235.

Contact Information

Primary practice address
401 Lowell Dr Se Ste 14 Huntsville AL 35801-3738
Fax: (256) 534-7268
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02709 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO630 Alabama

Profile Details

NPI number 1013994342
LBN Legal business name Blankenship, John David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated Jul 24th, 2012 - about 13 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 1013994342 NPPES
Kentucky MEDICAID 64036296

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