Blankenship, John Lee

Blankenship, John Lee is an individual health care provider with primary practice located at 629 Nuckolls Rd , Bolivar TN 38008-1599. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blankenship, John Lee can be contacted via phone (731) 658-3388.

Contact Information

Primary practice address
629 Nuckolls Rd Bolivar TN 38008-1599
Phone: (731) 658-3388
Fax: (731) 658-4079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36219 Tennessee

Profile Details

NPI number 1346222593
LBN Legal business name Blankenship, John Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jul 21st, 2022 - about 4 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 1346222593 NPPES
Tennessee Other 36219 MEDICAL LICENSE

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