Blankenship, Robert

Blankenship, Robert is an individual health care provider with primary practice located at 1923 S Utica Ave , Tulsa OK 74104-6520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Blankenship, Robert can be contacted via phone (918) 712-3366.

Contact Information

Primary practice address
1923 S Utica Ave Tulsa OK 74104-6520
Phone: (918) 712-3366
Fax: (918) 403-6343
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 12857 Oklahoma

Profile Details

NPI number 1023043577
LBN Legal business name Blankenship, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Mar 7th, 2018 - about 8 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 1023043577 NPPES
Oklahoma Other P00324056 RR MEDICARE
Oklahoma MEDICAID 100184350A RR MEDICARE

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