Blanton, Jimmy Herbert

Blanton, Jimmy Herbert is an individual health care provider with primary practice located at 1216 6Th Ave , Huntington WV 25701-2312. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Blanton, Jimmy Herbert can be contacted via phone (304) 523-3333.

Contact Information

Primary practice address
1216 6Th Ave Huntington WV 25701-2312
Fax: (304) 523-3330
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 668 West Virginia

Profile Details

NPI number 1588628531
LBN Legal business name Blanton, Jimmy Herbert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Aug 13th, 2012 - about 13 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 1588628531 NPPES
Ohio MEDICAID 2082124
Ohio MEDICAID 0132319000
Ohio MEDICAID 85680049

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