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Contact Information

HAL H BLANK, CSA OPAC
7073 STONECREEK DR
PLAINFIELD, IN46168-7923
 Phone: 317-838-8999
 Fax: 317-838-8999
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for HAL H BLANK · (Male)

NPI # 1396736070
Status Active
Credentials CSA OPAC
Entity Individual
Enumeration date 11/02/2005
Last updated 03/21/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • KY License # SA081
  • NY License # 0000097
Hospital affiliation(s) Not Available
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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