National Provider Identifier Database

EDWARD A BLANCO, DC – NPI #1013003771
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

EDWARD A BLANCO, DC
12464 LA GRANGE RD
LOUISVILLE, KY40245-1901
Phone: 502-205-2090
Fax: 502-205-2091
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for EDWARD A BLANCO

NPI Number 1013003771
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 10/04/2006
Last updated 07/17/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • KY License #: 290033
  • TN License #: DC0000001562
  • TN Medicaid: 3970873
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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