Blankinship, Michael

Blankinship, Michael is an individual health care provider with primary practice located at 4450 31St Ave S Ste 102 , Fargo ND 58104-4557. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Blankinship, Michael can be contacted via phone (701) 280-2033.

Contact Information

Primary practice address
4450 31St Ave S Ste 102 Fargo ND 58104-4557
Phone: (701) 280-2033
Fax: (701) 232-5578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 12697 North Dakota

Profile Details

NPI number 1780826867
LBN Legal business name Blankinship, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2009
Last updated Apr 3rd, 2024 - about 2 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 1780826867 NPPES
North Dakota MEDICAID 18176

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