Blunk, Jim D

Blunk, Jim D is an individual health care provider with primary practice located at 415 S Osage St , Caldwell KS 67022-1650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blunk, Jim D can be contacted via phone (620) 845-2516.

Contact Information

Primary practice address
415 S Osage St Caldwell KS 67022-1650
Phone: (620) 845-2516
Fax: (620) 845-2518
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2082 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 05-19457 Kansas

Profile Details

NPI number 1962402537
LBN Legal business name Blunk, Jim D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Feb 8th, 2018 - about 7 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 1962402537 NPPES
Kansas MEDICAID 100229560B
Kansas MEDICAID 100193490B

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