Blevins, Carter L
Blevins, Carter L is an sole proprietor health care provider with primary practice located at 176 Southport Drive , Somerset KY 42501-4149. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Blevins, Carter L can be contacted via phone (606) 679-7562.Contact Information
Primary practice address
176 Southport Drive
Somerset KY 42501-4149
Phone: (606) 679-7562
Fax: (606) 677-2557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4201 | Kentucky |
Profile Details
| NPI number | 1689730418 |
|---|---|
| LBN Legal business name | Blevins, Carter L |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Feb 7th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689730418 | NPPES |
| Kentucky | Other | 000000217071 | BCBS |
| Kentucky | MEDICAID | 60042017 | BCBS |
| Kentucky | MEDICAID | 64042013 | BCBS |
| Kentucky | Other | 64042013 | BCBS |
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