Blanton, Robert H

Blanton, Robert H is an individual health care provider with primary practice located at 1 Medical Park Blvd 250 West, Bristol TN 37620-7430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Blanton, Robert H can be contacted via phone (423) 844-6620.

Contact Information

Primary practice address
1 Medical Park Blvd 250 West Bristol TN 37620-7430
Phone: (423) 844-6620
Fax: (423) 844-6627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 24054 Tennessee

Profile Details

NPI number 1104921212
LBN Legal business name Blanton, Robert H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Sep 27th, 2021 - about 4 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 1104921212 NPPES
Tennessee Other F03906748 CHAMPUS
Tennessee Other TN0106 CHAMPUS
Tennessee Other 5070152 CHAMPUS
Tennessee Other 020034237 CHAMPUS
Tennessee Other 022276800 CHAMPUS
Tennessee Other 3036131 CHAMPUS
Tennessee MEDICAID 3074381 CHAMPUS
Tennessee MEDICAID 7305940 CHAMPUS
Tennessee Other 0636398 CHAMPUS
Tennessee Other 241060 CHAMPUS

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