Blenko, Katherine Ardis

Blenko, Katherine Ardis is an individual health care provider with primary practice located at 751 S Bascom Ave Ob/Gyn Dept, San Jose CA 95128-2604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Blenko, Katherine Ardis can be contacted via phone (408) 885-5550.

Contact Information

Primary practice address
751 S Bascom Ave Ob/Gyn Dept San Jose CA 95128-2604
Phone: (408) 885-5550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G73776 California

Profile Details

NPI number 1063485167
LBN Legal business name Blenko, Katherine Ardis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 9th, 2007 - about 17 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 1063485167 NPPES
California MEDICAID 00G737760

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