Blankenship, Brad E

Blankenship, Brad E is an sole proprietor health care provider with primary practice located at 306 N Chancery St , Mc Minnville TN 37110-2048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Blankenship, Brad E can be contacted via phone (931) 507-4500.

Contact Information

Primary practice address
306 N Chancery St Mc Minnville TN 37110-2048
Phone: (931) 507-4500
Fax: (931) 507-4502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD17499 Tennessee

Profile Details

NPI number 1427090562
LBN Legal business name Blankenship, Brad E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Feb 8th, 2008 - about 18 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 1427090562 NPPES
Tennessee MEDICAID 3735031
Tennessee Other MD17499

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