Blanford, Amy Jo

Blanford, Amy Jo is an individual health care provider with primary practice located at 1440 W Walnut St Building #2, Jacksonville IL 62650-1143. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Blanford, Amy Jo can be contacted via phone (217) 245-1455.

Contact Information

Primary practice address
1440 W Walnut St Building #2 Jacksonville IL 62650-1143
Phone: (217) 245-1455
Fax: (217) 243-6903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070009519 Illinois

Profile Details

NPI number 1336179712
LBN Legal business name Blanford, Amy Jo
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Apr 11th, 2011 - about 15 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 1336179712 NPPES
Illinois Other 141-989 HEALTHLINK
Illinois Other 216653 HEALTHLINK
Illinois Other 5415281 HEALTHLINK

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