Blanshan, Matt
Blanshan, Matt is an individual health care provider with primary practice located at 1826 Commerce Dr , North Mankato MN 56003-1800. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Blanshan, Matt can be contacted via phone (507) 229-0350.Contact Information
Primary practice address
1826 Commerce Dr
North Mankato MN 56003-1800
Phone: (507) 229-0350
Fax: (507) 216-0371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 9613 | Minnesota |
Profile Details
| NPI number | 1396503843 |
|---|---|
| LBN Legal business name | Blanshan, Matt |
| Credentials | CPRS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2024 |
| Last updated | Mar 11th, 2024 - 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 | 1396503843 | NPPES |
| Other | 9613 | CPRS CERTIFICATION |
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