Andrew L Blalock, IDC
Military Health Care Provider, Independent Duty Corpsman in Niantic, Connecticut
1447557657- Practice location
- 97 W Main St, Apt 47, Niantic, CT 06357-1749
- Phone
- 305-492-5489
- Fax
- —
- Last updated
- February 24, 2011
Andrew Lee Blalock is a Military Health Care Provider, Independent Duty Corpsman based in Niantic, CT. Andrew Lee Blalock practices in Niantic, CT and has the professional credentials of IDC. The NPI Number for Andrew Lee Blalock is 1447557657. The current practice location address for Andrew Lee Blalock is 97 W Main St, Apt 47, Niantic, CT 06357-1749 and can be reached out via phone at 305-492-5489.
Provider Profile Details
- NPI Number
- 1447557657
- Provider Name
- Andrew Lee Blalock
- Credential
- IDC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 97 W Main St, Apt 47, Niantic, CT 06357-1749
- Phone Number
- 305-492-5489
- Primary Taxonomy
- Military Health Care Provider, Independent Duty Corpsman · 1710I1002X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 24, 2011
- Last Update Date
- February 24, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 97 W Main St
Apt 47
Niantic, CT 06357-1749 - City
- Niantic
- State
- Connecticut
- Zip
- 06357-1749
- Phone Number
- 305-492-5489
Provider Business Mailing Address Details
- Address
- 97 West Main St
Apt 47
Niantic, CT 06357-1731 - City
- Niantic
- State
- CT
- Zip
- 06357-1731
- Phone Number
- 305-492-5489
License Information
- Taxonomy
- Military Health Care Provider, Independent Duty Corpsman · 1710I1002X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Andrew L Blalock, IDC?
The NPI number of Andrew L Blalock, IDC is 1447557657. It was assigned on February 24, 2011 and is currently active in the NPPES registry.
What is the specialty of Andrew L Blalock, IDC?
Andrew L Blalock, IDC is registered under the primary taxonomy Military Health Care Provider, Independent Duty Corpsman (code 1710I1002X).
Where does Andrew L Blalock, IDC practice?
The practice location is 97 W Main St, Apt 47, Niantic, CT 06357-1749. The office can be reached at 305-492-5489 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447557657 directly on the NPPES registry website.