Blinman, Thane A

Blinman, Thane A is an sole proprietor health care provider with primary practice located at 34Th & Civic Center Blvd Children'S Hospital Of Philadelphia, Philadelphia PA 19104-4306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Blinman, Thane A can be contacted via phone (215) 590-2730.

Contact Information

Primary practice address
34Th & Civic Center Blvd Children'S Hospital Of Philadelphia Philadelphia PA 19104-4306
Fax: (215) 590-4875
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD073948L Pennsylvania

Profile Details

NPI number 1164413027
LBN Legal business name Blinman, Thane A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Mar 14th, 2013 - about 11 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 1164413027 NPPES
Pennsylvania MEDICAID 100743887-0034

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