Blanton, Timothy R
Blanton, Timothy R is an individual health care provider with primary practice located at 101 E Broadway Ave , Ponca City OK 74601-4302. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Blanton, Timothy R can be contacted via phone (580) 765-2482.Contact Information
Primary practice address
101 E Broadway Ave
Ponca City OK 74601-4302
Phone: (580) 765-2482
Fax: (580) 765-4852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3102 | Oklahoma |
Profile Details
| NPI number | 1821175076 |
|---|---|
| LBN Legal business name | Blanton, Timothy R |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1821175076 | NPPES |
| Oklahoma | Other | P00288810 | RAILROAD MEDICARE |
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