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JOHN D BLENKUSH DC LLC NPI 1013306422


NPI Information

NPI: 1013306422
Provider Name: JOHN D BLENKUSH, DC, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3190 STATE ST
SUITE 101
MEDFORD, OR
ZIP 97504
Phone: (541) 772-4399
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JOHN D BLENKUSH, DC, LLC is a chiropractor in Medford, OR. The provider is 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. JOHN D BLENKUSH, DC, LLC NPI is 1013306422. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3190 STATE ST
SUITE 101
MEDFORD, OR
ZIP 97504-497
Phone: (541) 772-4399
Fax: (541) 772-4228

The provider's authorized official is Deanna Jean Blenkush .
The authorized official title is Office Manager and has the following contact phone number (541) 772-4399.

The enumeration date for this NPI number is 1/22/2015 and was last updated on 1/22/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor2897OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000QGHCHMEDICARE PINOREGON
2U53205MEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.