Blank, Cheryl L

Blank, Cheryl L is an individual health care provider with primary practice located at 887 Congress St Suite 410B, Portland ME 04102-3100. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Blank, Cheryl L can be contacted via phone (207) 662-5522.

Contact Information

Primary practice address
887 Congress St Suite 410B Portland ME 04102-3100
Phone: (207) 662-5522
Fax: (207) 662-5527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OS013295 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 2053 Maine

Profile Details

NPI number 1932171089
LBN Legal business name Blank, Cheryl L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Mar 10th, 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 1932171089 NPPES
Pennsylvania MEDICAID 101336885
Pennsylvania MEDICAID 432917499
Pennsylvania MEDICAID 30226634

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