Dewald, Carol Blankemeyer

Dewald, Carol Blankemeyer is an individual health care provider with primary practice located at 4075 Old Western Row Rd , Mason OH 45040-3104. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Dewald, Carol Blankemeyer can be contacted via phone (513) 536-0602.

Contact Information

Primary practice address
4075 Old Western Row Rd Mason OH 45040-3104
Phone: (513) 536-0602
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN202899 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X NS-01520 Ohio

Profile Details

NPI number 1891793220
LBN Legal business name Dewald, Carol Blankemeyer
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Aug 27th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891793220 NPPES
Ohio MEDICAID 2399622

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