Blinn, Justin C

Blinn, Justin C is an individual health care provider with primary practice located at 520 Mary St Ste 520 , Evansville IN 47710-1682. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Blinn, Justin C can be contacted via phone (812) 424-8231.

Contact Information

Primary practice address
520 Mary St Ste 520 Evansville IN 47710-1682
Phone: (812) 424-8231
Fax: (812) 435-8794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71011444A Indiana

Profile Details

NPI number 1801468301
LBN Legal business name Blinn, Justin C
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2021
Last updated Mar 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801468301 NPPES
Indiana MEDICAID 300054833
Indiana MEDICAID 7100768810
Indiana Other 000001580588
Indiana Other 71011444

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