Blanco, Ernesto Antonio

Blanco, Ernesto Antonio is an sole proprietor health care provider with primary practice located at 801 W Maple St , Farmington NM 87401-5630. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Blanco, Ernesto Antonio can be contacted via phone (505) 609-2258.

Contact Information

Primary practice address
801 W Maple St Farmington NM 87401-5630
Phone: (505) 609-2258
Fax: (505) 609-6074
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD2020-0675 New Mexico

Profile Details

NPI number 1235669649
LBN Legal business name Blanco, Ernesto Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2017
Last updated Nov 14th, 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.

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