Blanford, Christopher Thomas

Blanford, Christopher Thomas is an individual health care provider with primary practice located at 535 Park Ave E , Princeton IL 61356-2537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blanford, Christopher Thomas can be contacted via phone (815) 875-4531.

Contact Information

Primary practice address
535 Park Ave E Princeton IL 61356-2537
Phone: (815) 875-4531
Fax: (815) 876-2118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036139239 Illinois

Profile Details

NPI number 1306286950
LBN Legal business name Blanford, Christopher Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2013
Last updated Oct 13th, 2020 - about 6 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 1306286950 NPPES
Illinois MEDICAID 036139239

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