Blank, Roy C

Blank, Roy C is an individual health care provider with primary practice located at 1995 Wellness Blvd Suite 110, Bldg B, Monroe NC 28110-7769. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Blank, Roy C can be contacted via phone (704) 384-1140.

Contact Information

Primary practice address
1995 Wellness Blvd Suite 110, Bldg B Monroe NC 28110-7769
Phone: (704) 384-1140
Fax: (704) 384-1141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 30777 North Carolina

Profile Details

NPI number 1912969817
LBN Legal business name Blank, Roy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Feb 7th, 2013 - about 13 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 1912969817 NPPES
South Carolina MEDICAID N30777
South Carolina MEDICAID 8916227

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