Blankenship, Larry L
Blankenship, Larry L is an individual health care provider with primary practice located at 1210 Medical Arts Blvd Ste 114 , Anderson IN 46011-3442. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Blankenship, Larry L can be contacted via phone (765) 298-4545.Contact Information
Primary practice address
1210 Medical Arts Blvd Ste 114
Anderson IN 46011-3442
Phone: (765) 298-4545
Fax: (765) 298-4945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 01043570A | Indiana |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 01043570A | Indiana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01043570A | Indiana |
Profile Details
| NPI number | 1407947807 |
|---|---|
| LBN Legal business name | Blankenship, Larry L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Oct 22nd, 2019 - about 5 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 | 1407947807 | NPPES |
| Other | 130012612 | RAILROAD MEDICARE | |
| MEDICAID | 200029250A | RAILROAD MEDICARE | |
| Other | 000000086592 | RAILROAD MEDICARE |
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