Tanner, Blair Anthony

Tanner, Blair Anthony is an individual health care provider with primary practice located at 2709 Blue Ridge Rd Suite 200, Raleigh NC 27607-6462. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Tanner, Blair Anthony can be contacted via phone (919) 784-4696.

Contact Information

Primary practice address
2709 Blue Ridge Rd Suite 200 Raleigh NC 27607-6462
Phone: (919) 784-4696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10009 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT003109 Georgia

Profile Details

NPI number 1932178589
LBN Legal business name Tanner, Blair Anthony
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1932178589 NPPES
North Carolina Other 079UU BLUECROSS BLUESHIELD NC

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