National Provider Identifier Database

TABULA RASA PLLC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

TABULA RASA, PLLC
1296 ROBERT C. BYRD DRIVE
CRAB ORCHARD, WV25827
Phone: 681-238-5957
Fax: 681-238-5958
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for TABULA RASA, PLLC

NPI Number 1407396773
Legal business name
LBN
TABULA RASA, PLLC
Authorized official KEVIN BLANKENSHIP - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/06/2017
Last updated 03/06/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 19121

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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