Blankenship, Joe David
Blankenship, Joe David is an sole proprietor health care provider with primary practice located at 3000 Greystone Sq , Jackson TN 38305-3589. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Blankenship, Joe David can be contacted via phone (731) 664-5150.Contact Information
Primary practice address
3000 Greystone Sq
Jackson TN 38305-3589
Phone: (731) 664-5150
Fax: (731) 664-5059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 11096 | Tennessee |
Profile Details
| NPI number | 1437115763 |
|---|---|
| LBN Legal business name | Blankenship, Joe David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Mar 28th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437115763 | NPPES |
| Tennessee | Other | 165546 | UNISON HEALTH PLAN |
| Tennessee | Other | 7030 | UNISON HEALTH PLAN |
| Tennessee | MEDICAID | 3842457 | UNISON HEALTH PLAN |
| Tennessee | Other | 4102818 | UNISON HEALTH PLAN |
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