Blankenship, Kristin

Blankenship, Kristin is an individual health care provider with primary practice located at 747 N Rutledge St 3Rd Floor, Springfield IL 62702-6700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Blankenship, Kristin can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
747 N Rutledge St 3Rd Floor Springfield IL 62702-6700
Phone: (217) 545-8000
Fax: (217) 545-2588
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085004979 Illinois

Profile Details

NPI number 1174634562
LBN Legal business name Blankenship, Kristin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 17th, 2014 - about 11 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 1174634562 NPPES
Other P00653958 RAILROAD MEDICARE
Other 431560263 RAILROAD MEDICARE

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