Blandford, Jessica Marie

Blandford, Jessica Marie is an sole proprietor health care provider with primary practice located at 9800 Valparaiso Dr , Munster IN 46321-4040. She 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 / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Blandford, Jessica Marie can be contacted via phone (219) 934-9852.

Contact Information

Primary practice address
9800 Valparaiso Dr Munster IN 46321-4040
Phone: (219) 934-9852
Fax: (219) 836-7593
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 / Surgery 208600000X 01093562A Indiana

Profile Details

NPI number 1326507286
LBN Legal business name Blandford, Jessica Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2019
Last updated Jun 28th, 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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