National Provider Identifier Database

LARRY L BLANKENSHIP JR, MD – NPI #1407947807
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

LARRY L BLANKENSHIP JR, MD
1210 MEDICAL ARTS BLVD STE 114
ANDERSON, IN46011-3442
Phone: 765-298-4545
Fax: 765-298-4945
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Clinical Neurophysiology 2084N0600X
Sleep Medicine 2084S0012X

* Indicates primary specialty

NPI Profile & details for LARRY L BLANKENSHIP JR

NPI Number 1407947807
Credentials MD
Entity Individual
Enumeration date 09/28/2006
Last updated 10/22/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 01043570A
  • IN Medicaid: 200029250A
  • Other: 130012612 RAILROAD MEDICARE
  • IN Other: 000000086592 ANTHEM BLUE CROSS & BLUE
Hospital affiliation n/a

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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