Bloink, William
Bloink, William is an individual health care provider with primary practice located at 2943 W White Oaks Dr , Springfield IL 62704-6544. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bloink, William can be contacted via phone (217) 793-8899.Contact Information
Primary practice address
2943 W White Oaks Dr
Springfield IL 62704-6544
Phone: (217) 793-8899
Fax: (217) 793-9662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | Illinois |
Profile Details
| NPI number | 1689790388 |
|---|---|
| LBN Legal business name | Bloink, William |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1689790388 | NPPES |
| Illinois | MEDICAID | 1004360 |
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