Blanton, Adam C.
Blanton, Adam C. is an individual health care provider with primary practice located at 61 E 3Rd Ave , Williamson WV 25661-3530. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Blanton, Adam C. can be contacted via phone (043) 443-0233.Contact Information
Primary practice address
61 E 3Rd Ave
Williamson WV 25661-3530
Phone: (043) 443-0233
Fax: (043) 236-3110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | TC366 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1983 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 50.004709RX | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2775 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 700 | West Virginia |
Profile Details
| NPI number | 1508258856 |
|---|---|
| LBN Legal business name | Blanton, Adam C. |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2015 |
| Last updated | Jan 28th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508258856 | NPPES |
| Ohio | MEDICAID | 0174794 | |
| Ohio | MEDICAID | 1508258856 |
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