Blanton, Herman Mack

Blanton, Herman Mack is an individual health care provider with primary practice located at 600 Mary St , Evansville IN 47710-1674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Blanton, Herman Mack can be contacted via phone (812) 450-7338.

Contact Information

Primary practice address
600 Mary St Evansville IN 47710-1674
Phone: (812) 450-7338
Fax: (812) 450-2193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01077468A Indiana

Profile Details

NPI number 1255391413
LBN Legal business name Blanton, Herman Mack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Aug 24th, 2016 - about 9 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 1255391413 NPPES
Texas Other P00466542 RR MEDICARE
Texas Other 8V4241 RR MEDICARE
Texas MEDICAID 033102705 RR MEDICARE
Texas Other 1255391413 RR MEDICARE

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