Blanco, Edward A.
Blanco, Edward A. is an sole proprietor health care provider with primary practice located at 12464 La Grange Rd , Louisville KY 40245-1901. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Blanco, Edward A. can be contacted via phone (502) 205-2090.Contact Information
Primary practice address
12464 La Grange Rd
Louisville KY 40245-1901
Phone: (502) 205-2090
Fax: (502) 205-2091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC0000001562 | Tennessee |
| Chiropractic Providers / Chiropractor | 111N00000X | 290033 | Kentucky |
Profile Details
| NPI number | 1013003771 |
|---|---|
| LBN Legal business name | Blanco, Edward A. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 17th, 2024 - about 2 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 | 1013003771 | NPPES |
| Tennessee | MEDICAID | 3970873 |
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