Blankenship, William R
Blankenship, William R is an individual health care provider with primary practice located at 705 Sioux Point Rd Suite 100, Dakota Dunes SD 57049-5091. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Blankenship, William R can be contacted via phone (605) 217-5500.Contact Information
Primary practice address
705 Sioux Point Rd Suite 100
Dakota Dunes SD 57049-5091
Phone: (605) 217-5500
Fax: (605) 217-5515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 1188 | South Dakota |
Profile Details
| NPI number | 1104890888 |
|---|---|
| LBN Legal business name | Blankenship, William R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jan 22nd, 2010 - about 15 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 | 1104890888 | NPPES |
| Iowa | Other | I13147 | MEDICARE |
| Iowa | Other | 000165998 | MEDICARE |
| Iowa | MEDICAID | 6005020 | MEDICARE |
| Iowa | Other | 4165886 | MEDICARE |
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