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Contact Information

JESSE BLANK
501 HOWARD AVE STE F2
SUITE F4
ALTOONA, PA16601-4818
 Phone: 814-889-2020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JESSE BLANK · (Male)

NPI Number 1073931788
Status Active
Credentials
Entity Individual
Enumeration date 03/31/2014
Last updated 05/24/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD461730
Hospital affiliation(s)
  • ALTOONA REGIONAL HEALTH SYSTEM - (Acute Care)
    620 HOWARD AVENUE
    ALTOONA, PA 16601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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