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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932178589 | NPPES |
| North Carolina | Other | 079UU | BLUECROSS BLUESHIELD NC |
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