Blankenship, Nancy

Blankenship, Nancy is an individual health care provider with primary practice located at 2875 S 171St St , New Berlin WI 53151-3511. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Blankenship, Nancy can be contacted via phone (262) 786-3107.

Contact Information

Primary practice address
2875 S 171St St New Berlin WI 53151-3511
Fax: (262) 780-0442
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 27558 Wisconsin

Profile Details

NPI number 1104840636
LBN Legal business name Blankenship, Nancy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Nov 23rd, 2021 - about 3 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 1104840636 NPPES
Wisconsin MEDICAID 31581000

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