Blankers, Timothy Dean

Blankers, Timothy Dean is an individual health care provider with primary practice located at 1200 1St Ave E Ste C, Spencer IA 51301-4342. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Blankers, Timothy Dean can be contacted via phone (712) 262-7511.

Contact Information

Primary practice address
1200 1St Ave E Ste C Spencer IA 51301-4342
Phone: (712) 262-7511
Fax: (712) 262-3658
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 00757 Iowa
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 646 Minnesota

Profile Details

NPI number 1902869803
LBN Legal business name Blankers, Timothy Dean
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 15th, 2014 - about 10 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 1902869803 NPPES
Minnesota MEDICAID 426843100
Minnesota MEDICAID 0269555

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