Bland, Vivian H

Bland, Vivian H is an sole proprietor health care provider with primary practice located at 914 N Dixie Ave Suite 306, Elizabethtown KY 42701-2537. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bland, Vivian H can be contacted via phone (270) 769-1559.

Contact Information

Primary practice address
914 N Dixie Ave Suite 306 Elizabethtown KY 42701-2537
Phone: (270) 769-1559
Fax: (270) 234-9152
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17393 Kentucky

Profile Details

NPI number 1083601553
LBN Legal business name Bland, Vivian H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2005
Last updated May 2nd, 2018 - about 8 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 1083601553 NPPES
Kentucky Other 000000062513 ANTHEM PROVIDER
Kentucky MEDICAID 64173933 ANTHEM PROVIDER

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